Faris, David Allen
Faris, David Allen is an sole proprietor health care provider with primary practice located at 1219 Johnson Ave Suite 103, Bridgeport WV 26330-1353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Faris, David Allen can be contacted via phone (304) 842-8888.Contact Information
Primary practice address
1219 Johnson Ave Suite 103
Bridgeport WV 26330-1353
Phone: (304) 842-8888
Fax: (304) 842-7629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | WV16046 | West Virginia |
Profile Details
| NPI number | 1811056252 |
|---|---|
| LBN Legal business name | Faris, David Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Apr 5th, 2022 - about 3 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 | 1811056252 | NPPES |
| West Virginia | MEDICAID | 0095290000 |
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