Fenlon, Christine H
Fenlon, Christine H is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fenlon, Christine H can be contacted via phone (607) 763-6622.Contact Information
Primary practice address
33-57 Harrison St
Johnson City NY 13790-2107
Phone: (607) 763-6622
Fax: (607) 763-5064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 155386 | New York |
Profile Details
| NPI number | 1780679266 |
|---|---|
| LBN Legal business name | Fenlon, Christine H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Nov 18th, 2011 - about 15 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 | 1780679266 | NPPES |
| New York | MEDICAID | 00916358 |
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