Sanan, Carrie Cooper-Fenske

Sanan, Carrie Cooper-Fenske is an individual health care provider with primary practice located at 596 W Main St , Wilmington OH 45177-2123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sanan, Carrie Cooper-Fenske can be contacted via phone (937) 283-2588.

Contact Information

Primary practice address
596 W Main St Wilmington OH 45177-2123
Phone: (937) 283-2588
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01083558A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.095325 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 46698 Kentucky

Profile Details

NPI number 1003079575
LBN Legal business name Sanan, Carrie Cooper-Fenske
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2008
Last updated Oct 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003079575 NPPES
Kentucky MEDICAID 7100211040
Kentucky MEDICAID 0070900

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