Fenner, Devon E

Fenner, Devon E is an individual health care provider with primary practice located at 750 Lakeview Ave , Port Huron MI 48060-2104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fenner, Devon E can be contacted via phone (810) 488-5795.

Contact Information

Primary practice address
750 Lakeview Ave Port Huron MI 48060-2104
Phone: (810) 488-5795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Michigan

Profile Details

NPI number 1972160505
LBN Legal business name Fenner, Devon E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2019
Last updated May 9th, 2024 - about 2 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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