Fenstermacher, Thomas L

Fenstermacher, Thomas L is an individual health care provider with primary practice located at 283 S Butler Rd , Lebanon PA 17042-8939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fenstermacher, Thomas L can be contacted via phone (717) 273-8871.

Contact Information

Primary practice address
283 S Butler Rd Lebanon PA 17042-8939
Phone: (717) 273-8871
Fax: (717) 270-2452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD039418E Pennsylvania

Profile Details

NPI number 1164453627
LBN Legal business name Fenstermacher, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 8th, 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 1164453627 NPPES
Pennsylvania Other MD039418E STATE LICENSE - MD
Pennsylvania MEDICAID 001488919 STATE LICENSE - MD

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