Fenton, Anne L
Fenton, Anne L is an sole proprietor health care provider with primary practice located at 114 Waltham St Suite 21, Lexington MA 02421-5415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Fenton, Anne L can be contacted via phone (617) 848-2937.Contact Information
Primary practice address
114 Waltham St Suite 21
Lexington MA 02421-5415
Phone: (617) 848-2937
Fax: (617) 848-2937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 52992 | Massachusetts |
Profile Details
| NPI number | 1720067366 |
|---|---|
| LBN Legal business name | Fenton, Anne L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Aug 17th, 2023 - about last year |
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 | 1720067366 | NPPES |
| Massachusetts | MEDICAID | 3014762 | |
| Massachusetts | Other | J05328 |
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