Faller, Nancy Irene
Faller, Nancy Irene is an individual health care provider with primary practice located at 145 Kimel Park Dr Suite 330, Winston Salem NC 27103-6984. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Faller, Nancy Irene can be contacted via phone (336) 765-6181.Contact Information
Primary practice address
145 Kimel Park Dr Suite 330
Winston Salem NC 27103-6984
Phone: (336) 765-6181
Fax: (336) 765-8492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 9401402 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 9401402 | North Carolina |
Profile Details
| NPI number | 1811952740 |
|---|---|
| LBN Legal business name | Faller, Nancy Irene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Sep 9th, 2020 - about 4 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 | 1811952740 | NPPES |
| North Carolina | Other | 13736 | BLUE CROSS & BLUE SHIELD |
| North Carolina | MEDICAID | 8931096 | BLUE CROSS & BLUE SHIELD |
| North Carolina | Other | D8837 | BLUE CROSS & BLUE SHIELD |
| North Carolina | Other | 05609128 | BLUE CROSS & BLUE SHIELD |
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