Fenton, Edmond John Douglas

Fenton, Edmond John Douglas is an individual health care provider with primary practice located at 225 Bennett Ave , Hurlburt Field FL 32544-5707. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Fenton, Edmond John Douglas can be contacted via phone (267) 614-4811.

Contact Information

Primary practice address
225 Bennett Ave Hurlburt Field FL 32544-5707
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS17931 Florida
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X OS17931 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS17931 Florida

Profile Details

NPI number 1598260549
LBN Legal business name Fenton, Edmond John Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated Mar 27th, 2024 - 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.

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