Fetzek, Deven J.
Fetzek, Deven J. is an sole proprietor health care provider with primary practice located at 995 Prince Frederick Blvd Ste 204 , Prince Frederick MD 20678-5101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fetzek, Deven J. can be contacted via phone (443) 351-3376.Contact Information
Primary practice address
995 Prince Frederick Blvd Ste 204
Prince Frederick MD 20678-5101
Phone: (443) 351-3376
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C03348 | Maryland |
Profile Details
NPI number | 1326290511 |
---|---|
LBN Legal business name | Fetzek, Deven J. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 21st, 2008 |
Last updated | Oct 7th, 2020 - 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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