Phyllis Ann Fenneman in Evansville - Pediatrics
Phyllis Ann Fenneman - NPI 1144426438
Phyllis Ann Fenneman is a Pediatrics in Evansville, Indiana. Phyllis Ann Fenneman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Phyllis Ann Fenneman is 1144426438. The last update date is 2007-07-08.
Phyllis Ann Fenneman's current location address is 10990 Ridge Knoll Dr, Evansville, Indiana. You can contact this provider via phone number 8128677521. The mailing address for Phyllis Ann Fenneman is 10990 Ridge Knoll Dr, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Ann Fenneman |
|---|---|
| Address | 10990 Ridge Knoll Dr, Evansville, Indiana |
| Phone Number | 8128677521 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1144426438 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10990 Ridge Knoll Dr |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477105058 |
| Phone Number | 8128677521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 05001000A |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the unique identifier code issued to Phyllis Ann Fenneman by the Centers for Medicare & Medicaid Services (CMS)?
The Phyllis Ann Fenneman has been assigned the NPI (National Provider Identifier) 1144426438. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Phyllis Ann Fenneman located?
The Phyllis Ann Fenneman is located at 10990 Ridge Knoll Dr, Evansville, IN 477105058.
What is Phyllis Ann Fenneman's area of expertise and its corresponding taxonomy classification?
The Phyllis Ann Fenneman's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Phyllis Ann Fenneman receive the assignment of its 1144426438 from the Centers for Medicare & Medicaid Services?
The Phyllis Ann Fenneman was issued its 1144426438 by the Centers for Medicare & Medicaid Services on 2007-06-22.
As of what date was the information pertaining to Phyllis Ann Fenneman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Phyllis Ann Fenneman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.