Fain, Jerry Dean
Fain, Jerry Dean is an individual health care provider with primary practice located at 901 W 38Th St Suite 200, Austin TX 78705-1165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fain, Jerry Dean can be contacted via phone (512) 419-9733.Contact Information
Primary practice address
901 W 38Th St Suite 200
Austin TX 78705-1165
Phone: (512) 419-9733
Fax: (512) 451-3709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | H4310 | Texas |
Profile Details
| NPI number | 1447293840 |
|---|---|
| LBN Legal business name | Fain, Jerry Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 13th, 2009 - about 16 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 | 1447293840 | NPPES |
| Texas | Other | 8BP225 | BCBS OF TX |
| Texas | Other | P00645999 | BCBS OF TX |
| Texas | MEDICAID | 131313207 | BCBS OF TX |
| Texas | MEDICAID | 131313202 | BCBS OF TX |
| Texas | Other | 830004599 | BCBS OF TX |
| Texas | MEDICAID | 131313208 | BCBS OF TX |
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