Faillace, Deon F
Faillace, Deon F is an individual health care provider with primary practice located at 2041 Valleygate Dr Suite 202-A, Fayetteville NC 28304. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Faillace, Deon F can be contacted via phone (910) 485-6277.Contact Information
Primary practice address
2041 Valleygate Dr Suite 202-A
Fayetteville NC 28304
Phone: (910) 485-6277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 31809 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 31809 | North Carolina |
Profile Details
| NPI number | 1508823949 |
|---|---|
| LBN Legal business name | Faillace, Deon F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 31st, 2018 - about 7 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 | 1508823949 | NPPES |
| North Carolina | Other | P00352202 | MEDICARE-RAILROAD |
| North Carolina | Other | 31041 | MEDICARE-RAILROAD |
| North Carolina | MEDICAID | 7931041 | MEDICARE-RAILROAD |
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