Fenn, Brian

Fenn, Brian is an individual health care provider with primary practice located at 275 Sandwich St , Plymouth MA 02360. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fenn, Brian can be contacted via phone (508) 746-2000.

Contact Information

Primary practice address
275 Sandwich St Plymouth MA 02360
Phone: (508) 746-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN174475 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 062441-23 New Hampshire

Profile Details

NPI number 1891779732
LBN Legal business name Fenn, Brian
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jan 4th, 2023 - about 3 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 1891779732 NPPES
Ohio MEDICAID 0810500
Ohio MEDICAID 3134668
Ohio MEDICAID 74382060
Ohio Other 000000179713
Ohio MEDICAID 200419580

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