Fetter, John Edgar
Fetter, John Edgar is an individual health care provider with primary practice located at 6565 Fannin St Suite B452, Houston TX 77030-2703. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Fetter, John Edgar can be contacted via phone (713) 441-3620.Contact Information
Primary practice address
6565 Fannin St Suite B452
Houston TX 77030-2703
Phone: (713) 441-3620
Fax: (713) 790-2082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 56823 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N3028 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 41164 | Minnesota |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | N3028 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | N3028 | Texas |
Profile Details
| NPI number | 1659303287 |
|---|---|
| LBN Legal business name | Fetter, John Edgar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Feb 15th, 2018 - about 7 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 | 1659303287 | NPPES |
| Wisconsin | MEDICAID | 32494500 | |
| Wisconsin | Other | 8DY860 | |
| Wisconsin | Other | P00759962 | |
| Wisconsin | Other | P01254102 | |
| Wisconsin | MEDICAID | 202518300 | |
| Wisconsin | MEDICAID | 203934901 | |
| Wisconsin | MEDICAID | 203934902 | |
| Wisconsin | MEDICAID | 203934903 | |
| Wisconsin | Other | P01030486 | |
| Wisconsin | Other | 8W4777 |
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