Fabian, John A

Fabian, John A is an individual health care provider with primary practice located at 80 Mead St , North Tonawanda NY 14120-4435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fabian, John A can be contacted via phone (716) 693-1596.

Contact Information

Primary practice address
80 Mead St North Tonawanda NY 14120-4435
Phone: (716) 693-1596
Fax: (716) 743-0812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 186089 New York

Profile Details

NPI number 1982635504
LBN Legal business name Fabian, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1982635504 NPPES
New York Other 000511201003 BC/BS OF WESTERN NEW YORK
New York Other 00010052501 BC/BS OF WESTERN NEW YORK
New York MEDICAID 01280359 BC/BS OF WESTERN NEW YORK
New York Other 0403772 BC/BS OF WESTERN NEW YORK

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