Andraea M Fenn in Pembroke - Sports Physician
Andraea M Fenn - NPI 1194833699
Andraea M Fenn is a Sports Physician in Pembroke, Massachusetts. Andraea M Fenn practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Andraea M Fenn is 1194833699. The last update date is 2007-07-08.
Andraea M Fenn's current location address is 212 Schoosett St, Pembroke, Massachusetts. You can contact this provider via phone number 7818268804 and fax number 7818268805. The mailing address for Andraea M Fenn is 212 Schoosett St, Pembroke, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andraea M Fenn |
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Address | 212 Schoosett St, Pembroke, Massachusetts |
Phone Number | 7818268804 |
Fax Number | 7818268805 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1194833699 |
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Provider Enumeration Date | 2006-08-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 212 Schoosett St |
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City | Pembroke |
State | Massachusetts (MA) |
Post Code | 23591822 |
Phone Number | 7818268804 |
Fax Number | 7818268805 |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | 1520 |
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1610023 | MA | -- |
Post Comment/ Review Below
What is the Andraea M Fenn's unique identification number?
The Andraea M Fenn has been assigned the NPI (National Provider Identifier) Number 1194833699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Andraea M Fenn is located?
The Andraea M Fenn is situated at the following address: 212 Schoosett St, Pembroke, MA, 23591822.
What is Andraea M Fenn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andraea M Fenn is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
When did Andraea M Fenn receive its 1194833699 assignment?
The Andraea M Fenn was assigned its 1194833699 on 2006-08-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Andraea M Fenn last refreshed?
The information related to the Andraea M Fenn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY