Fannin, Oliver William

Fannin, Oliver William is an sole proprietor health care provider with primary practice located at 601 E 15Th St , Austin TX 78701-1930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fannin, Oliver William can be contacted via phone (512) 324-7000.

Contact Information

Primary practice address
601 E 15Th St Austin TX 78701-1930
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J7324 Texas

Profile Details

NPI number 1316902281
LBN Legal business name Fannin, Oliver William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Jun 25th, 2009 - about 15 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 1316902281 NPPES
Texas MEDICAID 138853023
Texas Other 138853024
Texas Other 8Y0017

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