Fanelly, Lawrence John
Fanelly, Lawrence John is an sole proprietor health care provider with primary practice located at 2600 Navarre Ave , Oregon OH 43616-3207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fanelly, Lawrence John can be contacted via phone (419) 696-7216.Contact Information
Primary practice address
2600 Navarre Ave
Oregon OH 43616-3207
Phone: (419) 696-7216
Fax: (419) 696-2123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 34003344F | Ohio |
Profile Details
| NPI number | 1285614503 |
|---|---|
| LBN Legal business name | Fanelly, Lawrence John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Sep 15th, 2017 - about 9 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 | 1285614503 | NPPES |
| Michigan | MEDICAID | 3402510110 | |
| Michigan | MEDICAID | 0494924 |
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