Fenske, Neil
Fenske, Neil is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd , Tampa FL 33612-4742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Fenske, Neil can be contacted via phone (813) 974-2920.Contact Information
Primary practice address
12901 Bruce B Downs Blvd
Tampa FL 33612-4742
Phone: (813) 974-2920
Fax: (813) 974-4272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME30231 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ME30231 | Florida |
Profile Details
| NPI number | 1649218207 |
|---|---|
| LBN Legal business name | Fenske, Neil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649218207 | NPPES |
| Florida | Other | 29999 | BCBS |
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