Active NPIIndividual providerSole proprietor

Derek W Fennell, RRT

Respiratory Therapist, Registered in China, Maine

NPI Number1366791121
Practice location
95 Tarybelu Ln, China, ME 04358-4000
Fax
—
Last updated
September 7, 2012

Derek Wayne Fennell is a Respiratory Therapist, Registered based in China, ME. Derek Wayne Fennell practices in China, ME and has the professional credentials of RRT. The NPI Number for Derek Wayne Fennell is 1366791121 and holds a License No. th1597 (ME). The current practice location address for Derek Wayne Fennell is 95 Tarybelu Ln, China, ME 04358-4000 and can be reached out via phone at 207-623-8411.

Provider Profile Details

NPI Number
1366791121
Provider Name
Derek Wayne Fennell
Credential
RRT
Provider Entity Type
Individual
Gender
Male
Address
95 Tarybelu Ln, China, ME 04358-4000
Phone Number
207-623-8411
Primary Taxonomy
Respiratory Therapist, Registered · 227900000X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2012
Last Update Date
September 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Tarybelu Ln
China, ME 04358-4000
City
China
State
Maine
Zip
04358-4000
Phone Number
207-623-8411
China, ME 04358Get directions →

Provider Business Mailing Address Details

Address
95 Tarybelu Ln
China, ME 04358-4000
City
China
State
ME
Zip
04358-4000
Phone Number
207-623-8411

License Information

License Number
th1597
License State
ME
Taxonomy
Respiratory Therapist, Registered · 227900000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Derek W Fennell, RRT?

The NPI number of Derek W Fennell, RRT is 1366791121. It was assigned on September 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Derek W Fennell, RRT?

Derek W Fennell, RRT is registered under the primary taxonomy Respiratory Therapist, Registered (code 227900000X), licensed in ME under license number th1597.

Where does Derek W Fennell, RRT practice?

The practice location is 95 Tarybelu Ln, China, ME 04358-4000. The office can be reached at 207-623-8411 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366791121 directly on the NPPES registry website.

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