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Contact Information

CARLTON R FENZL, MD
777 TANGLEFOOT LN
BETTENDORF, IA52722-1650
 Phone: 563-323-2020
 Fax: 563-459-6615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CARLTON R FENZL · (Male)

NPI # 1386958064
Status Active
Credentials MD
Entity Individual
Enumeration date 08/04/2010
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 42474
  • IL License # 036.137712
  • IA Medicaid 1386958064
  • IL Medicaid 036137712
Hospital affiliation(s)
  • HAMMOND HENRY HOSPITAL - (Critical Access)
    600 N COLLEGE AVENUE
    GENESEO, IL 61254
  • TRINITY ROCK ISLAND - (Acute Care)
    2701 17TH ST
    ROCK ISLAND, IL 61201
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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