Fenton Clinic is a Primary Care in Fenton, Michigan. Fenton Clinic practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Fenton Clinic is 1699949610. The last update date is 2008-04-22.
Fenton Clinic's current location address is 201 E Caroline St, Fenton, Michigan. You can contact this provider via phone number 8106294187 and fax number 8106299662. The mailing address for Fenton Clinic is 201 E Caroline St, Fenton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fenton Clinic |
|---|---|
| Address | 201 E Caroline St, Fenton, Michigan |
| Phone Number | 8106294187 |
| Fax Number | 8106299662 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Trollman Lavern Joseph |
| Credentials | DO |
| Telephone Number | 8106294187 |
NPI Number Detail
| NPI Number | 1699949610 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 201 E Caroline St |
|---|---|
| City | Fenton |
| State | Michigan (MI) |
| Post Code | 484302105 |
| Phone Number | 8106294187 |
| Fax Number | 8106299662 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 51010055954 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 152524585 | MI | MR BC PPOM | |
| 1001880 | MI | -- |
Post Comment/ Review Below
What is the Fenton Clinic's 1699949610?
The Fenton Clinic's NPI (National Provider Identifier) Number is 1699949610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Fenton Clinic is physically located?
The Fenton Clinic is physically situated at the following address: 201 E Caroline St, Fenton, MI, 484302105.
What is the Fenton Clinic's area of specialization and corresponding taxonomy classification?
The Fenton Clinic's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699949610 to Fenton Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1699949610 to Fenton Clinic on 2008-04-22.
When was the information pertaining to Fenton Clinic most recently updated or revised?
The details related to Fenton Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-22.