Fahey, Michael James

Fahey, Michael James is an sole proprietor health care provider with primary practice located at 481 Plumas Blvd Ste 103, Yuba City CA 95991-5075. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fahey, Michael James can be contacted via phone (530) 751-1230.

Contact Information

Primary practice address
481 Plumas Blvd Ste 103 Yuba City CA 95991-5075
Phone: (530) 751-1230
Fax: (530) 751-1340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G58383 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G58383 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G58383 California

Profile Details

NPI number 1851403109
LBN Legal business name Fahey, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 17 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 1851403109 NPPES
California MEDICAID 00G583830

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