Fajerson, Troy G

Fajerson, Troy G is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fajerson, Troy G can be contacted via phone (530) 666-1631.

Contact Information

Primary practice address
632 W Gibson Rd Woodland CA 95695
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA12188 California

Profile Details

NPI number 1962420869
LBN Legal business name Fajerson, Troy G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 30th, 2013 - about 11 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 1962420869 NPPES
California Other PA12188 MEDI-CAL
California Other P00061967 MEDI-CAL

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