Basic Information
| Provider Information | |||||||||
| NPI: | 1194954842 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FICHTER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | ENID | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.P.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 151 CEDAR ST | ||||||||
| Address2: | |||||||||
| City: | REHOBOTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027692538 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 289 PLEASANT ST | ||||||||
| Address2: | STE 202 | ||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027213005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086467720 | ||||||||
| FaxNumber: | 5086467721 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2009 | ||||||||
| LastUpdateDate: | 04/04/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 25MD00313700 | NJ | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | 213E00000X | SC006114 | PA | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | 213E00000X | 2403 | MA | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.