Fetterly, Paul J
Fetterly, Paul J is an individual health care provider with primary practice located at 1001 7Th St Ne , Devils Lake ND 58301-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fetterly, Paul J can be contacted via phone (701) 662-2157.Contact Information
Primary practice address
1001 7Th St Ne
Devils Lake ND 58301-2719
Phone: (701) 662-2157
Fax: (701) 662-4116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7419 | North Dakota |
Profile Details
| NPI number | 1801895610 |
|---|---|
| LBN Legal business name | Fetterly, Paul J |
| Credentials | MD, FACOG |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Mar 21st, 2014 - about 10 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 | 1801895610 | NPPES |
| North Dakota | MEDICAID | 18821 |
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