Fannin, William T

Fannin, William T is an individual health care provider with primary practice located at 9 Flora Street , Pikeville KY 41501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Fannin, William T can be contacted via phone (606) 432-4183.

Contact Information

Primary practice address
9 Flora Street Pikeville KY 41501
Phone: (606) 432-4183
Fax: (606) 432-4270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 23326 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KY23326 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 23326 Kentucky

Profile Details

NPI number 1982764551
LBN Legal business name Fannin, William T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Dec 13th, 2019 - about 6 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 1982764551 NPPES
Kentucky MEDICAID 64233265

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