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Jack Fennel

Family Doctor Family Doctor - Adult Medicine

126 Missouri Ave
Fort Leonard Wood , Missouri 65473-8952

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Jack Fennel

Family Doctor Family Doctor - Adult Medicine

126 Missouri Ave
Fort Leonard Wood , Missouri 65473-8952

(573) 329-8302

Write a Review Save Call

Jack Fennel

Family Doctor Family Doctor - Adult Medicine

126 Missouri Ave
Fort Leonard Wood , Missouri 65473-8952

(573) 329-8302 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Adult Medicine

Languages spoken

  • English

Location

126 Missouri Ave Fort Leonard Wood , Missouri 65473-8952

First Address

  • Jack Fennel
  • 126 Missouri Ave
  • Fort Leonard Wood, MO
  • Zip : 65473-8952
  • Fax : (573) 329-8302
  • Phone : (573) 329-8305

Second Address

  • Jack Fennel
  • 126 Missouri Ave
  • Fort Leonard Wood, MO
  • Zip : 65473-8952
  • Fax : (573) 329-8302
  • Phone : (573) 329-8305

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FAQs


Where did Jack Fennel attend graduate school?

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Where did Jack Fennel do his residency?

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Where did Jack Fennel do his fellowship?

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Is Jack Fennel board certified?

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In what state does Jack Fennel practice in?

Missouri

Where is Jack Fennel ’s practice located?

126 Missouri Ave , Fort Leonard Wood, Missouri, 65473-8952

What is Jack Fennel ’s gender?

Male

Is Jack Fennel a sole practitioner?

No

Is Jack Fennel accepting new patients?

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What languages does Jack Fennel speak?

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Does Jack Fennel accept insurance?

Yes, Jack Fennel accepts insurance

Does Jack Fennel offers telemedicine?

Jack Fennel has not indicated if he offers telemedicine

What is Jack Fennel ’s professional license number?

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What is Jack Fennel ’s NPI number?

1356300271

Does Jack Fennel have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor R9D28 MO
N 207QA0505X Family Doctor - Adult Medicine R9D28 MO

National Provider Identifier

NPI 1356300271
Provider Name Jack Fennel
First Address Fort Leonard Wood, MO 65473-8952
Second Address Fort Leonard Wood, MO 65473-8952
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/03/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
A10393 (02) MO

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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