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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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