Fanney, David Grafton
Fanney, David Grafton is an sole proprietor health care provider with primary practice located at 4241 Nw American Lane , Lake City FL 32055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fanney, David Grafton can be contacted via phone (386) 752-2246.Contact Information
Primary practice address
4241 Nw American Lane
Lake City FL 32055
Phone: (386) 752-2246
Fax: (386) 758-7998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS0005960 | Florida |
Profile Details
| NPI number | 1588637896 |
|---|---|
| LBN Legal business name | Fanney, David Grafton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Dec 24th, 2009 - about 16 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 | 1588637896 | NPPES |
| Florida | MEDICAID | 051724100 |
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