Fenton, Fred Robert
Fenton, Fred Robert is an individual health care provider with primary practice located at 326 Washington St , Norwich CT 06360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fenton, Fred Robert can be contacted via phone (860) 889-8331.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5004494 | Connecticut |
Profile Details
| NPI number | 1568572667 |
|---|---|
| LBN Legal business name | Fenton, Fred Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568572667 | NPPES |
| Other | 41509941 | TRICARE |
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Spates, Matthew J
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