Fenno, James A

Fenno, James A is an individual health care provider with primary practice located at 1061 Harmon Ave Ste 1D03 , Fort Stewart GA 31314-5641. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Fenno, James A can be contacted via phone (912) 435-6965.

Contact Information

Primary practice address
1061 Harmon Ave Ste 1D03 Fort Stewart GA 31314-5641
Phone: (912) 435-6965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41926 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 41926 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 41926 Wisconsin
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 41926 Wisconsin

Profile Details

NPI number 1609824002
LBN Legal business name Fenno, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 1st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609824002 NPPES
Wisconsin MEDICAID 32634400
Wisconsin MEDICAID 286970500

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