Fahs, Shadi M

Fahs, Shadi M is an sole proprietor health care provider with primary practice located at 23855 Michigan Ave , Dearborn MI 48124-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fahs, Shadi M can be contacted via phone (313) 769-5656.

Contact Information

Primary practice address
23855 Michigan Ave Dearborn MI 48124-1805
Phone: (313) 769-5656
Fax: (313) 769-5658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101014583 Michigan

Profile Details

NPI number 1144209883
LBN Legal business name Fahs, Shadi M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Dec 9th, 2015 - about 9 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 1144209883 NPPES
Michigan Other 238601 MEDICARE RURAL HEALTH CLINIC NUMBER
Michigan MEDICAID 4938598 MEDICARE RURAL HEALTH CLINIC NUMBER
Michigan Other CA1068 MEDICARE RURAL HEALTH CLINIC NUMBER

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