Fahler, Donald

Fahler, Donald is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fahler, Donald can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W West Lafayette IN 47906-1501
Phone: (765) 448-8000
Fax: (765) 448-7606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 57.013903 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01067769A Indiana

Profile Details

NPI number 1225290711
LBN Legal business name Fahler, Donald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225290711 NPPES
Indiana MEDICAID 200980950
Indiana Other 000000670768

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