Fain, Daniel R

Fain, Daniel R is an individual health care provider with primary practice located at 35 Michigan St Ne Suite 3003, Grand Rapids MI 49503-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Fain, Daniel R can be contacted via phone (616) 267-2500.

Contact Information

Primary practice address
35 Michigan St Ne Suite 3003 Grand Rapids MI 49503-2514
Phone: (616) 267-2500
Fax: (616) 267-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 4301069422 Michigan

Profile Details

NPI number 1922088491
LBN Legal business name Fain, Daniel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 8th, 2021 - about 3 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 1922088491 NPPES
Michigan MEDICAID 4352208

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