Fenton, Duane Lee

Fenton, Duane Lee is an individual health care provider with primary practice located at 2373 G Rd Ste 100 , Grand Junction CO 81505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fenton, Duane Lee can be contacted via phone (970) 245-0484.

Contact Information

Primary practice address
2373 G Rd Ste 100 Grand Junction CO 81505
Phone: (970) 245-0484
Fax: (970) 241-1681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAL-2390 Colorado

Profile Details

NPI number 1205979689
LBN Legal business name Fenton, Duane Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Oct 14th, 2019 - about 6 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 1205979689 NPPES
Colorado Other P00638187 RR MEDICARE PIN
Colorado MEDICAID 85629375 RR MEDICARE PIN

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