Fenske, Neil

Fenske, Neil is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd , Tampa FL 33612-4742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Fenske, Neil can be contacted via phone (813) 974-2920.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Tampa FL 33612-4742
Fax: (813) 974-4272
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME30231 Florida
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X ME30231 Florida

Profile Details

NPI number 1649218207
LBN Legal business name Fenske, Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 11th, 2008 - about 16 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 1649218207 NPPES
Florida Other 29999 BCBS

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