Fauler, Timothy Lee

Fauler, Timothy Lee is an individual health care provider with primary practice located at 3 Main St , Hoosick Falls NY 12090-2001. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Fauler, Timothy Lee can be contacted via phone (518) 686-0286.

Contact Information

Primary practice address
3 Main St Hoosick Falls NY 12090-2001
Phone: (518) 686-0286
Fax: (518) 686-1412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005676 New York

Profile Details

NPI number 1245212299
LBN Legal business name Fauler, Timothy Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 5th, 2016 - about 8 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 1245212299 NPPES
New York MEDICAID 02090715

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