Fakult, Sandra M

Fakult, Sandra M is an individual health care provider with primary practice located at 3909 Orange Pl #2100, Orange Village OH 44122-4478. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fakult, Sandra M can be contacted via phone (216) 896-1800.

Contact Information

Primary practice address
3909 Orange Pl #2100 Orange Village OH 44122-4478
Phone: (216) 896-1800
Fax: (216) 896-1801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-069995 Ohio

Profile Details

NPI number 1881636462
LBN Legal business name Fakult, Sandra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Nov 28th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881636462 NPPES
Ohio MEDICAID 2100032

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