Jennifer Etters Fendo in North Wales - Specialist
Jennifer Etters Fendo - NPI 1679793012
Jennifer Etters Fendo is a Specialist in North Wales, Pennsylvania. Jennifer Etters Fendo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jennifer Etters Fendo is 1679793012. The last update date is 2007-07-08.
Jennifer Etters Fendo's current location address is 218 S Main St, North Wales, Pennsylvania. You can contact this provider via phone number 2156162412. The mailing address for Jennifer Etters Fendo is 218 S Main St, North Wales, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Etters Fendo |
|---|---|
| Address | 218 S Main St, North Wales, Pennsylvania |
| Phone Number | 2156162412 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1679793012 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 218 S Main St |
|---|---|
| City | North Wales |
| State | Pennsylvania (PA) |
| Post Code | 194543410 |
| Phone Number | 2156162412 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OC003930L |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Jennifer Etters Fendo's 1679793012?
The Jennifer Etters Fendo's NPI (National Provider Identifier) Number is 1679793012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Etters Fendo's physical address?
The Jennifer Etters Fendo is physically located at 218 S Main St, in the city of North Wales, PA, with the postal code 194543410.
What is the Jennifer Etters Fendo's area of specialization and corresponding taxonomy classification?
The Jennifer Etters Fendo's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1679793012 assigned to Jennifer Etters Fendo?
The Jennifer Etters Fendo was issued its 1679793012 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jennifer Etters Fendo last refreshed?
The information related to the Jennifer Etters Fendo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.