Fajardo, Daniel Adrian

Fajardo, Daniel Adrian is an individual health care provider with primary practice located at 3011 Hampton Ave , Brunswick GA 31520-4264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Fajardo, Daniel Adrian can be contacted via phone (912) 261-2669.

Contact Information

Primary practice address
3011 Hampton Ave Brunswick GA 31520-4264
Phone: (912) 261-2669
Fax: (912) 261-0561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 062687 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1346443959
LBN Legal business name Fajardo, Daniel Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2007
Last updated Aug 19th, 2009 - about 15 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 1346443959 NPPES
Other BP2-0021332 INSTITUTIONAL PERMIT

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