John Anton Fackenthall

LBN: John Anton Fackenthall
John Anton Fackenthall is an health care organization with primary practice located at 1312 E Isaacs Ave , Walla Walla WA 99362-2152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. John Anton Fackenthall can be contacted via phone (509) 525-4100, or through Fackenthall, John Anton via phone (509) 525-4100.

Contact Information

Primary practice address
1312 E Isaacs Ave Walla Walla WA 99362-2152
Phone: (509) 525-4100
Fax: (509) 529-7033
Website:
Map and Directions
Authorized official contact:
Name: Fackenthall, John Anton Doctor of Osteopathy (DO)
Phone: (509) 525-4100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00000703 Washington

Profile Details

NPI number 1659552057
LBN Legal business name John Anton Fackenthall
DBA Doing business as
Authorized official Fackenthall, John Anton Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Jan 3rd, 2013 - about 11 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 1659552057 NPPES
Washington MEDICAID 1252808

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