Fajardo, Ben
Fajardo, Ben is an individual health care provider with primary practice located at 42850 Garfield Rd Ste 102 , Clinton Twp MI 48038-5026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fajardo, Ben can be contacted via phone (586) 263-2845.Contact Information
Primary practice address
42850 Garfield Rd Ste 102
Clinton Twp MI 48038-5026
Phone: (586) 263-2845
Fax: (586) 412-2497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301032370 | Michigan |
Profile Details
| NPI number | 1518986801 |
|---|---|
| LBN Legal business name | Fajardo, Ben |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jan 6th, 2010 - about 14 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 | 1518986801 | NPPES |
| Michigan | MEDICAID | 4484780 |
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