Fesenmeier, James T

Fesenmeier, James T is an individual health care provider with primary practice located at 1115 Ronald Reagan Pkwy Ste 141, Avon IN 46123-6913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fesenmeier, James T can be contacted via phone (317) 948-5450.

Contact Information

Primary practice address
1115 Ronald Reagan Pkwy Ste 141 Avon IN 46123-6913
Fax: (317) 217-2585
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01040145A Indiana

Profile Details

NPI number 1649294166
LBN Legal business name Fesenmeier, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 21st, 2021 - about 3 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 1649294166 NPPES
Indiana MEDICAID 100334160
Indiana Other 000000333460

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