Fanning, Michael James
Fanning, Michael James is an individual health care provider with primary practice located at 500 Corporate Pkwy Suite 100, Amherst NY 14226-1263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Fanning, Michael James can be contacted via phone (716) 631-0380.Contact Information
Primary practice address
500 Corporate Pkwy Suite 100
Amherst NY 14226-1263
Phone: (716) 631-0380
Fax: (716) 631-3229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 134690 | New York |
Profile Details
| NPI number | 1811977127 |
|---|---|
| LBN Legal business name | Fanning, Michael James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Aug 26th, 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 | 1811977127 | NPPES |
| New York | MEDICAID | 00786329 |
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