Fetzer, John C

Fetzer, John C is an individual health care provider with primary practice located at 2191 E Johnson Ave , Pensacola FL 32514-6029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fetzer, John C can be contacted via phone (850) 494-3917.

Contact Information

Primary practice address
2191 E Johnson Ave Pensacola FL 32514-6029
Phone: (850) 494-3917
Fax: (850) 494-3960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME48794 Florida

Profile Details

NPI number 1801881040
LBN Legal business name Fetzer, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 23rd, 2008 - about 17 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 1801881040 NPPES
Florida MEDICAID 044224100

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