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Contact Information

JOHN D FICHTENKORT, MD
600 COFFEE RD
MODESTO, CA95355-4201
 Phone: 209-524-1211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JOHN D FICHTENKORT · (Male)

NPI Number 1265611768
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2007
Last updated 01/06/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G57591
  • CA Medicaid 00G575910
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    1700 COFFEE RD
    MODESTO, CA 95355
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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