Fetter, David A
Fetter, David A is an sole proprietor health care provider with primary practice located at 2626 Washington St , Waukegan IL 60085-4917. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fetter, David A can be contacted via phone (847) 599-9500.Contact Information
Primary practice address
2626 Washington St
Waukegan IL 60085-4917
Phone: (847) 599-9500
Fax: (847) 599-9485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036057645 | Illinois |
Profile Details
| NPI number | 1871588186 |
|---|---|
| LBN Legal business name | Fetter, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Aug 18th, 2010 - about 16 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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