Fahey, Sean Michael

Fahey, Sean Michael is an individual health care provider with primary practice located at 128 Medical Park Rd Suite 101, Mooresville NC 28117-8578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fahey, Sean Michael can be contacted via phone (704) 658-1001.

Contact Information

Primary practice address
128 Medical Park Rd Suite 101 Mooresville NC 28117-8578
Phone: (704) 658-1001
Fax: (704) 658-1002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 200201576 North Carolina

Profile Details

NPI number 1619976479
LBN Legal business name Fahey, Sean Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 8th, 2015 - about 10 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 1619976479 NPPES
North Carolina MEDICAID 89134NK

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