Fenning, Walter R.
Fenning, Walter R. is an individual health care provider with primary practice located at 21601 76Th Ave W , Edmonds WA 98026-7507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fenning, Walter R. can be contacted via phone (425) 640-4000.Contact Information
Primary practice address
21601 76Th Ave W
Edmonds WA 98026-7507
Phone: (425) 640-4000
Fax: (206) 672-0211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00020794 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD00020794 | Washington |
Profile Details
| NPI number | 1891749248 |
|---|---|
| LBN Legal business name | Fenning, Walter R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 16th, 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 | 1891749248 | NPPES |
| Washington | MEDICAID | 8543100 |
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