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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316902281 | NPPES |
| Texas | MEDICAID | 138853023 | |
| Texas | Other | 138853024 | |
| Texas | Other | 8Y0017 |
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