Faibisoff, Burt I

Faibisoff, Burt I is an sole proprietor health care provider with primary practice located at 830 Ainsworth Dr , Prescott AZ 86301-1630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Faibisoff, Burt I can be contacted via phone (928) 777-5800.

Contact Information

Primary practice address
830 Ainsworth Dr Prescott AZ 86301-1630
Phone: (928) 777-5800
Fax: (928) 776-0405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 13213 Arizona
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 13213 Arizona

Profile Details

NPI number 1730128695
LBN Legal business name Faibisoff, Burt I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Mar 8th, 2022 - about 2 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 1730128695 NPPES
Arizona MEDICAID 226672

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