H J FENNEL, OD, Optometrist RED BLUFF, CA

Contact Information

H J FENNEL, OD

1031 WASHINGTON ST
RED BLUFF, CA 96080

Phone: 530-527-2211
Fax: 530-527-7412
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for H J FENNEL · (Male)

NPI Number	`1962423582`
Status	Active
Credentials	OD (Doctor of Optometry)
Entity	Individual
Enumeration date	07/21/2006
Last updated	03/23/2010 - About 16 years ago
Sole proprietor ¹	No
Identifiers	CA License # 5114T CA Medicaid SD0051140
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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