Fahr, Michael Edward

Fahr, Michael Edward is an individual health care provider with primary practice located at 15770 Paul Vega Md Dr Ste 108A , Hammond LA 70403-1475. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Fahr, Michael Edward can be contacted via phone (985) 230-1870.

Contact Information

Primary practice address
15770 Paul Vega Md Dr Ste 108A Hammond LA 70403-1475
Phone: (985) 230-1870
Fax: (985) 230-1871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD.203318 Louisiana
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD.203318 Louisiana

Profile Details

NPI number 1013134626
LBN Legal business name Fahr, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Dec 8th, 2022 - about 3 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 1013134626 NPPES
Louisiana MEDICAID 1997421
Louisiana MEDICAID 0303804

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