Jack Fennel
Family Doctor Family Doctor - Adult Medicine
126 Missouri Ave
Fort Leonard Wood
, Missouri 65473-8952
Jack Fennel
Family Doctor Family Doctor - Adult Medicine
126 Missouri Ave
Fort Leonard Wood
, Missouri 65473-8952
(573) 329-8302
Write a Review Share Save Call
About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
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
Reviews
FAQs
Where did Jack Fennel attend graduate school?
Where did Jack Fennel do his residency?
Where did Jack Fennel do his fellowship?
Is Jack Fennel board certified?
In what state does Jack Fennel practice in?
Where is Jack Fennel ’s practice located?
What is Jack Fennel ’s gender?
Is Jack Fennel a sole practitioner?
Is Jack Fennel accepting new patients?
What languages does Jack Fennel speak?
Does Jack Fennel accept insurance?
Does Jack Fennel offers telemedicine?
What is Jack Fennel ’s professional license number?
What is Jack Fennel ’s NPI number?
Does Jack Fennel have any license restrictions?
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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.