Fenter, Zack

Fenter, Zack is an sole proprietor health care provider with primary practice located at 2860 I 55 Service Rd Ste C, Marion AR 72364. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Fenter, Zack can be contacted via phone (870) 739-8686.

Contact Information

Primary practice address
2860 I 55 Service Rd Ste C Marion AR 72364
Phone: (870) 739-8686
Fax: (870) 739-8656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 2584 Arkansas

Profile Details

NPI number 1700142635
LBN Legal business name Fenter, Zack
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2012
Last updated Aug 7th, 2012 - about 14 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 1700142635 NPPES
Arkansas MEDICAID 191231721

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