Fenske, Gina L
Fenske, Gina L is an individual health care provider with primary practice located at 374 W Olive Ave Suite A, Merced CA 95348-3181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fenske, Gina L can be contacted via phone (209) 384-5766.Contact Information
Primary practice address
374 W Olive Ave Suite A
Merced CA 95348-3181
Phone: (209) 384-5766
Fax: (209) 383-4230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA15207 | California |
Profile Details
| NPI number | 1750342895 |
|---|---|
| LBN Legal business name | Fenske, Gina L |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jan 11th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750342895 | NPPES |
| California | MEDICAID | 053992 |
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