Fenton, Wayne John
Fenton, Wayne John is an sole proprietor health care provider with primary practice located at 99 7Th Street Sw , Taylorsville NC 28625. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fenton, Wayne John can be contacted via phone (828) 635-7400.Contact Information
Primary practice address
99 7Th Street Sw
Taylorsville NC 28625
Phone: (828) 635-7400
Fax: (828) 635-7415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2041 | North Carolina |
Profile Details
| NPI number | 1467536748 |
|---|---|
| LBN Legal business name | Fenton, Wayne John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Dec 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467536748 | NPPES |
| North Carolina | MEDICAID | 890822G | |
| North Carolina | Other | 0822G |
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