Fajgenbaum, Michael Charles

Fajgenbaum, Michael Charles is an individual health care provider with primary practice located at 3410 Executive Dr Suite 103, Raleigh NC 27609-7450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Fajgenbaum, Michael Charles can be contacted via phone (919) 872-5296.

Contact Information

Primary practice address
3410 Executive Dr Suite 103 Raleigh NC 27609-7450
Phone: (919) 872-5296
Fax: (919) 850-9718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 32359 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 32359 North Carolina

Profile Details

NPI number 1114998127
LBN Legal business name Fajgenbaum, Michael Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Nov 11th, 2015 - about 10 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 1114998127 NPPES
North Carolina MEDICAID 8931094

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