Fendell, Howard S

Fendell, Howard S is an individual health care provider with primary practice located at 1931 E Hallandale Beach Blvd , Hallandale Beach FL 33009-4708. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Fendell, Howard S can be contacted via phone (954) 456-8100.

Contact Information

Primary practice address
1931 E Hallandale Beach Blvd Hallandale Beach FL 33009-4708
Fax: (954) 456-6246
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P01672 Florida

Profile Details

NPI number 1124016738
LBN Legal business name Fendell, Howard S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jun 19th, 2008 - about 18 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 1124016738 NPPES
Other 89719 BCBS
MEDICAID 390018500 BCBS

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