Fetch, Dennis Ivan

Fetch, Dennis Ivan is an sole proprietor health care provider with primary practice located at 5200 N Federal Hwy Suite #4, Ft Lauderdale FL 33308-3253. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fetch, Dennis Ivan can be contacted via phone (954) 491-6663.

Contact Information

Primary practice address
5200 N Federal Hwy Suite #4 Ft Lauderdale FL 33308-3253
Phone: (954) 491-6663
Fax: (954) 491-6697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1081 Florida

Profile Details

NPI number 1992843783
LBN Legal business name Fetch, Dennis Ivan
Credentials O.D.,P.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 9th, 2007 - about 19 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 1992843783 NPPES
Florida Other 650601816 TAX ID

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