National Provider Identifier Database

JACQUELINE M FENNERTY, DPM – NPI #1992871495
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JACQUELINE M FENNERTY, DPM
1435 G ST
SPRINGFIELD, OR97477-4113
Phone: 541-735-9420
Fax:
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JACQUELINE M FENNERTY

NPI Number 1992871495
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/27/2006
Last updated 01/14/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • OR License #: DP00292
  • OR Medicaid: 150584
Hospital affiliation n/a

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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