Fahey, John H
Fahey, John H is an sole proprietor health care provider with primary practice located at 2901 Old Jacksonville Rd , Springfield IL 62704-7437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Fahey, John H can be contacted via phone (217) 546-0512.Contact Information
Primary practice address
2901 Old Jacksonville Rd
Springfield IL 62704-7437
Phone: (217) 546-0512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 036109320 | Illinois |
Profile Details
| NPI number | 1144287020 |
|---|---|
| LBN Legal business name | Fahey, John H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 29th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144287020 | NPPES |
| Illinois | MEDICAID | 036109320 |
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