Faaborg, Loren L

Faaborg, Loren L is an sole proprietor health care provider with primary practice located at 14044 W Camelback Rd Suite 118, Litchfield Park AZ 85340-9428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Faaborg, Loren L can be contacted via phone (623) 547-2600.

Contact Information

Primary practice address
14044 W Camelback Rd Suite 118 Litchfield Park AZ 85340-9428
Phone: (623) 547-2600
Fax: (623) 547-1899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 13067 Nebraska
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 33356 Arizona

Profile Details

NPI number 1659378479
LBN Legal business name Faaborg, Loren L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jun 11th, 2015 - about 9 years ago

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 1659378479 NPPES
Nebraska Other 04010 BCBS
Nebraska MEDICAID 103447200 BCBS

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