Faimon, Gregory G

Faimon, Gregory G is an individual health care provider with primary practice located at 2610 N Woodlawn St , Wichita KS 67220-2729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Faimon, Gregory G can be contacted via phone (316) 858-2610.

Contact Information

Primary practice address
2610 N Woodlawn St Wichita KS 67220-2729
Phone: (316) 858-2610
Fax: (316) 858-2793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 04-27023 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0427023 Kansas

Profile Details

NPI number 1205942463
LBN Legal business name Faimon, Gregory G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 22nd, 2016 - about 8 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 1205942463 NPPES
Kansas MEDICAID 100294640H
Kansas MEDICAID 100294640M
Kansas Other P00615213
Kansas MEDICAID 100294640L
Kansas MEDICAID 100294640W
Kansas Other 105234
Kansas MEDICAID 200362720C

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