Douglas R Fetkenhour in Rochester - Rehabilitation Practitioner

Douglas R Fetkenhour - NPI 1326023128

Douglas R Fetkenhour is a Rehabilitation Practitioner in Rochester, New York. Douglas R Fetkenhour practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Douglas R Fetkenhour is 1326023128. The last update date is 2023-07-05.

Douglas R Fetkenhour's current location address is 601 Elmwood Ave Box 664, Rochester, New York. You can contact this provider via phone number 5852753271 and fax number 5854422949. The mailing address for Douglas R Fetkenhour is 601 Elmwood Ave Box 664, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas R Fetkenhour
Address 601 Elmwood Ave Box 664, Rochester, New York
Phone Number 5852753271
Fax Number 5854422949
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1326023128
Provider Enumeration Date 2005-12-14
Last Updated Date 2023-07-05

Provider Mailing Address Detail

Address 601 Elmwood Ave Box 664
City Rochester
State New York (NY)
Post Code 146420001
Phone Number 5852753271
Fax Number 5854422949

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Licence No 235170
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2695178 NY --

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FAQs about Douglas R Fetkenhour

What is the unique identifier code issued to Douglas R Fetkenhour by the Centers for Medicare & Medicaid Services?

The Douglas R Fetkenhour has been assigned the NPI (National Provider Identifier) 1326023128. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Douglas R Fetkenhour's physical address?

The Douglas R Fetkenhour is physically located at 601 Elmwood Ave Box 664, in the city of Rochester, NY, with the postal code 146420001.

What is Douglas R Fetkenhour's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Douglas R Fetkenhour is Rehabilitation Practitioner, and the taxonomy code that categorizes this field of expertise is 225400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1326023128 to Douglas R Fetkenhour?

The Centers for Medicare & Medicaid Services assigned the 1326023128 to Douglas R Fetkenhour on 2005-12-14.

When was the Douglas R Fetkenhour's information last updated?

The Douglas R Fetkenhour's information was last updated on 2023-07-05.

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