Fahlen, Mark T

Fahlen, Mark T is an sole proprietor health care provider with primary practice located at 1400 Florida Ave Suite 109, Modesto CA 95350-4422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Fahlen, Mark T can be contacted via phone (209) 544-2910.

Contact Information

Primary practice address
1400 Florida Ave Suite 109 Modesto CA 95350-4422
Phone: (209) 544-2910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A81212 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A81212 California

Profile Details

NPI number 1679539415
LBN Legal business name Fahlen, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Aug 2nd, 2011 - 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.

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