Fenyk, John Raymond
Fenyk, John Raymond is an individual health care provider with primary practice located at 516 Delaware St Se Mmc 98, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Fenyk, John Raymond can be contacted via phone (612) 625-5656.Contact Information
Primary practice address
516 Delaware St Se Mmc 98
Minneapolis MN 55455-0356
Phone: (612) 625-5656
Fax: (612) 624-6678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 23247 | Minnesota |
Profile Details
| NPI number | 1265463129 |
|---|---|
| LBN Legal business name | Fenyk, John Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jun 4th, 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 | 1265463129 | NPPES |
| Minnesota | Other | 0716001 | PREFERRED ONE |
| Minnesota | Other | HP13270 | PREFERRED ONE |
| Minnesota | Other | 03-03331 | PREFERRED ONE |
| Minnesota | Other | 03-00003 | PREFERRED ONE |
| Minnesota | Other | 411436271001 | PREFERRED ONE |
| Minnesota | Other | OG471FE | PREFERRED ONE |
| Minnesota | MEDICAID | 305893000 | PREFERRED ONE |
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