Faggard, John Mclain

Faggard, John Mclain is an sole proprietor health care provider with primary practice located at 1005 Highway 2 , Sandpoint ID 83864-1702. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Faggard, John Mclain can be contacted via phone (208) 265-5916.

Contact Information

Primary practice address
1005 Highway 2 Sandpoint ID 83864-1702
Fax: (208) 255-2066
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M6916 Idaho

Profile Details

NPI number 1194939421
LBN Legal business name Faggard, John Mclain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated May 14th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194939421 NPPES
Other 1138309 PREVIOUS PROVIDER NUMBER

Popular Providers