Fennig, Roberta Lee
Fennig, Roberta Lee is an sole proprietor health care provider with primary practice located at 6955 N Mesa St Suite 113, El Paso TX 79912-4442. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is her primary health care specialty. Fennig, Roberta Lee can be contacted via phone (915) 545-1509.Contact Information
Primary practice address
6955 N Mesa St Suite 113
El Paso TX 79912-4442
Phone: (915) 545-1509
Fax: (915) 544-5357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | J2873 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | J2873 | Texas |
Profile Details
| NPI number | 1376552612 |
|---|---|
| LBN Legal business name | Fennig, Roberta Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376552612 | NPPES |
| New Mexico | MEDICAID | E0694 |
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