Fahey, Mark E

Fahey, Mark E is an individual health care provider with primary practice located at 3334 Capital Medical Blvd Suite 400, Tallahassee FL 32308-4470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fahey, Mark E can be contacted via phone (850) 877-8174.

Contact Information

Primary practice address
3334 Capital Medical Blvd Suite 400 Tallahassee FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME53578 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 039786 Georgia

Profile Details

NPI number 1194728956
LBN Legal business name Fahey, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 2nd, 2013 - about 11 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 1194728956 NPPES
Georgia MEDICAID 000500728C
Georgia MEDICAID 370237500
Georgia MEDICAID 000500728D

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