Faris, Jay R.

Faris, Jay R. is an individual health care provider with primary practice located at 55 Maui Lani Pkwy , Wailuku HI 96793-2416. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Faris, Jay R. can be contacted via phone (808) 243-6050.

Contact Information

Primary practice address
55 Maui Lani Pkwy Wailuku HI 96793-2416
Phone: (808) 243-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD-14450 Hawaii
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD151178 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD14450 Hawaii

Profile Details

NPI number 1770761355
LBN Legal business name Faris, Jay R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Jul 19th, 2021 - about 4 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 1770761355 NPPES
Hawaii MEDICAID 07129001

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