Fenton, Zene Fawn

Fenton, Zene Fawn is an individual health care provider with primary practice located at 2305 Mendocino Ave Ste B , Santa Rosa CA 95403-3157. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Fenton, Zene Fawn can be contacted via phone (707) 544-2637.

Contact Information

Primary practice address
2305 Mendocino Ave Ste B Santa Rosa CA 95403-3157
Phone: (707) 544-2637
Fax: (707) 544-2088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT2583 California

Profile Details

NPI number 1336150515
LBN Legal business name Fenton, Zene Fawn
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336150515 NPPES
California Other OT-0025830 BLUE SHIELD

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