Mark Edward Fenzl in Forest - General Practice
Mark Edward Fenzl - NPI 1790993137
Mark Edward Fenzl is a General Practice in Forest, Ohio. Mark Edward Fenzl practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Edward Fenzl is 1790993137. The last update date is 2009-05-26.
Mark Edward Fenzl's current location address is 216 E Lima St, Forest, Ohio. You can contact this provider via phone number 4192732553 and fax number 4192733337. The mailing address for Mark Edward Fenzl is 216 E Lima St, Forest, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Fenzl |
|---|---|
| Address | 216 E Lima St, Forest, Ohio |
| Phone Number | 4192732553 |
| Fax Number | 4192733337 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1790993137 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2009-05-26 |
Provider Mailing Address Detail
| Address | 216 E Lima St |
|---|---|
| City | Forest |
| State | Ohio (OH) |
| Post Code | 458431118 |
| Phone Number | 4192732553 |
| Fax Number | 4192733337 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 34.008871 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00681969 | OH | RAILROAD CARE | |
| 2902854 | OH | -- |
Post Comment/ Review Below
What is the Mark Edward Fenzl's unique identification number?
The Mark Edward Fenzl has been assigned the NPI (National Provider Identifier) Number 1790993137 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 address where Mark Edward Fenzl is physically located?
The Mark Edward Fenzl is situated at the following address: 216 E Lima St, Forest, OH 458431118.
What is Mark Edward Fenzl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Edward Fenzl is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did Mark Edward Fenzl receive its 1790993137 assignment from the Centers for Medicare & Medicaid Services?
The Mark Edward Fenzl was assigned its 1790993137 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark Edward Fenzl most recently updated or revised?
The information pertaining to Mark Edward Fenzl, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-26.