Alam, Fakhre

Alam, Fakhre is an sole proprietor health care provider with primary practice located at 2731 W Main St Suite A, Carbondale IL 62901-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Alam, Fakhre can be contacted via phone (618) 549-6378.

Contact Information

Primary practice address
2731 W Main St Suite A Carbondale IL 62901-1027
Phone: (618) 549-6378
Fax: (618) 529-2347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036101704 Illinois

Profile Details

NPI number 1427033828
LBN Legal business name Alam, Fakhre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Jan 31st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427033828 NPPES
Illinois MEDICAID 036101704
Illinois Other 130023524
Illinois MEDICAID 704790
Illinois Other 036-101704

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