Facklam, Arnold William
Facklam, Arnold William is an sole proprietor health care provider with primary practice located at 5216 Clayton Court , Fort Myers FL 33907. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Facklam, Arnold William can be contacted via phone (239) 343-8260.Contact Information
Primary practice address
5216 Clayton Court
Fort Myers FL 33907
Phone: (239) 343-8260
Fax: (239) 343-8261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN325609 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN9420829 | Florida |
Profile Details
| NPI number | 1356509129 |
|---|---|
| LBN Legal business name | Facklam, Arnold William |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2008 |
| Last updated | Jan 31st, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356509129 | NPPES |
| Florida | MEDICAID | 016126500 | |
| Florida | Other | J400001352 |
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