Fechtner, Daniel

Fechtner, Daniel is an individual health care provider with primary practice located at 235 Wealthy St Se Ste 100 , Grand Rapids MI 49503-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Fechtner, Daniel can be contacted via phone (616) 840-8719.

Contact Information

Primary practice address
235 Wealthy St Se Ste 100 Grand Rapids MI 49503-5229
Phone: (616) 840-8719
Fax: (616) 840-9637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA05407200 New Jersey
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 165156 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301102208 Michigan

Profile Details

NPI number 1467440487
LBN Legal business name Fechtner, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 31st, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467440487 NPPES
New Jersey MEDICAID 0004405

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