Faris, Gregory W
Faris, Gregory W is an sole proprietor health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5187. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Faris, Gregory W can be contacted via phone (317) 630-7276.Contact Information
Primary practice address
720 Eskenazi Ave
Indianapolis IN 46202-5187
Phone: (317) 630-7276
Fax: (317) 656-4216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01073676A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 01073676A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.097527 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01073676A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 01073676A | Indiana |
Profile Details
| NPI number | 1720235401 |
|---|---|
| LBN Legal business name | Faris, Gregory W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2008 |
| Last updated | Jan 11th, 2024 - about 8 months 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 | 1720235401 | NPPES |
| Indiana | Other | 200640016 | MEDICARE PTAN |
| Indiana | Other | 264430206 | MEDICARE PTAN |
| Indiana | MEDICAID | 201060680 | MEDICARE PTAN |
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