Fath, John J
Fath, John J is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Fath, John J can be contacted via phone (313) 982-5440.Contact Information
Primary practice address
18101 Oakwood Blvd
Dearborn MI 48124-4089
Phone: (313) 982-5440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 4301051219 | Michigan |
Profile Details
| NPI number | 1013909837 |
|---|---|
| LBN Legal business name | Fath, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1013909837 | NPPES |
| Michigan | MEDICAID | 465852010 | |
| Michigan | Other | 4301051219 |
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