Fichtenkort, John D

Fichtenkort, John D is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Fichtenkort, John D can be contacted via phone (209) 524-1211.

Contact Information

Primary practice address
600 Coffee Rd Modesto CA 95355-4201
Phone: (209) 524-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X G57591 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G57591 California

Profile Details

NPI number 1265611768
LBN Legal business name Fichtenkort, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Jan 6th, 2009 - 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 1265611768 NPPES
California MEDICAID 00G575910

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