John A Fetchero Jr D O P A

LBN: John A Fetchero Jr D O P A
John A Fetchero Jr D O P A is an health care organization with primary practice located at 1542 Kingsley Ave Ste 140 , Orange Park FL 32073-4547. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty. John A Fetchero Jr D O P A can be contacted via phone (904) 278-3820, or through Fetchero, John Anthony via phone (904) 278-3820.

Contact Information

Primary practice address
1542 Kingsley Ave Ste 140 Orange Park FL 32073-4547
Phone: (904) 278-3820
Fax: (904) 278-3849
Website:
Map and Directions
Authorized official contact:
Name: Fetchero, John Anthony Doctor of Osteopathy (DO)
Phone: (904) 278-3820

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X

Profile Details

NPI number 1457397499
LBN Legal business name John A Fetchero Jr D O P A
DBA Doing business as
Authorized official Fetchero, John Anthony Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Sep 30th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457397499 NPPES
Florida MEDICAID 048447400

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