Fahrner, Joyce Renick

Fahrner, Joyce Renick is an individual health care provider with primary practice located at 302 Kensington Ave , Flint MI 48503-2044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Fahrner, Joyce Renick can be contacted via phone (810) 762-8400.

Contact Information

Primary practice address
302 Kensington Ave Flint MI 48503-2044
Fax: (810) 762-8118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301030266 Michigan

Profile Details

NPI number 1639167109
LBN Legal business name Fahrner, Joyce Renick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Feb 27th, 2008 - about 17 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 1639167109 NPPES
Michigan MEDICAID 4535048

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