Fabunan, Philip

Fabunan, Philip is an sole proprietor health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Fabunan, Philip can be contacted via phone (619) 532-6400.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1447695077
LBN Legal business name Fabunan, Philip
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2013
Last updated Aug 12th, 2022 - about 2 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 1447695077 NPPES
Other 1710-1002X IDC

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