Fackelman, James Robert
Fackelman, James Robert is an individual health care provider with primary practice located at 10555 Se Carr Rd , Renton WA 98055-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fackelman, James Robert can be contacted via phone (425) 656-4270.Contact Information
Primary practice address
10555 Se Carr Rd
Renton WA 98055-5820
Phone: (425) 656-4270
Fax: (425) 656-4271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00024483 | Washington |
Profile Details
| NPI number | 1417939331 |
|---|---|
| LBN Legal business name | Fackelman, James Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Sep 25th, 2012 - about 12 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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