Fenzl, Carlton Robert

Fenzl, Carlton Robert is an individual health care provider with primary practice located at 777 Tanglefoot Ln , Bettendorf IA 52722-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fenzl, Carlton Robert can be contacted via phone (563) 323-2020.

Contact Information

Primary practice address
777 Tanglefoot Ln Bettendorf IA 52722-1650
Phone: (563) 323-2020
Fax: (563) 459-6615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036.137712 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 42474 Iowa

Profile Details

NPI number 1386958064
LBN Legal business name Fenzl, Carlton Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2010
Last updated Mar 18th, 2021 - about 4 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 1386958064 NPPES
Iowa MEDICAID 1386958064
Iowa MEDICAID 036137712

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