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Contact Information

HEIDI S FENNELL, DC, FICPA
230 N MARYLAND AVE STE 309
GLENDALE, CA91206-4281
 Phone: 818-549-1300
 Fax: 818-549-0075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for HEIDI S FENNELL · (Female)

NPI Number 1609969120
Status Active
Credentials DC, FICPA
Entity Individual
Enumeration date 10/02/2006
Last updated 05/03/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # DC29506
Hospital affiliation(s) Not Available
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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