Fetzek, Deven J.

Fetzek, Deven J. is an sole proprietor health care provider with primary practice located at 995 Prince Frederick Blvd Ste 204 , Prince Frederick MD 20678-5101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fetzek, Deven J. can be contacted via phone (443) 351-3376.

Contact Information

Primary practice address
995 Prince Frederick Blvd Ste 204 Prince Frederick MD 20678-5101
Phone: (443) 351-3376
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C03348 Maryland

Profile Details

NPI number 1326290511
LBN Legal business name Fetzek, Deven J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2008
Last updated Oct 7th, 2020 - about 6 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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