Fetch, Dennis Ivan
Fetch, Dennis Ivan is an sole proprietor health care provider with primary practice located at 5200 N Federal Hwy Suite #4, Ft Lauderdale FL 33308-3253. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fetch, Dennis Ivan can be contacted via phone (954) 491-6663.Contact Information
Primary practice address
5200 N Federal Hwy Suite #4
Ft Lauderdale FL 33308-3253
Phone: (954) 491-6663
Fax: (954) 491-6697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1081 | Florida |
Profile Details
| NPI number | 1992843783 |
|---|---|
| LBN Legal business name | Fetch, Dennis Ivan |
| Credentials | O.D.,P.A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 9th, 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 | 1992843783 | NPPES |
| Florida | Other | 650601816 | TAX ID |
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