Faerber, Bruce William

Faerber, Bruce William is an individual health care provider with primary practice located at 2175 Chambliss Ave Nw Ocoee Eye Center Ste B, Cleveland TN 37311-3842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Faerber, Bruce William can be contacted via phone (423) 473-7200.

Contact Information

Primary practice address
2175 Chambliss Ave Nw Ocoee Eye Center Ste B Cleveland TN 37311-3842
Fax: (423) 473-7808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 021886 Tennessee

Profile Details

NPI number 1407878267
LBN Legal business name Faerber, Bruce William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Dec 30th, 2009 - about 15 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 1407878267 NPPES
Tennessee MEDICAID 3074908

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