Fahner, James B

Fahner, James B is an individual health care provider with primary practice located at 100 Michigan St Ne Mc 85, Grand Rapids MI 49503-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Fahner, James B can be contacted via phone (616) 391-2653.

Contact Information

Primary practice address
100 Michigan St Ne Mc 85 Grand Rapids MI 49503-2560
Phone: (616) 391-2653
Fax: (616) 391-8873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 4301049486 Michigan

Profile Details

NPI number 1245201383
LBN Legal business name Fahner, James B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 8th, 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 1245201383 NPPES
Michigan MEDICAID 2571143
Michigan Other 1104104512

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