Faulkner, Brent Cabell
Faulkner, Brent Cabell is an individual health care provider with primary practice located at 15245 Shady Grove Rd Suite 155, Rockville MD 20850-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Faulkner, Brent Cabell can be contacted via phone (240) 912-4708.Contact Information
Primary practice address
15245 Shady Grove Rd Suite 155
Rockville MD 20850-3222
Phone: (240) 912-4708
Fax: (240) 912-6992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | D0063076 | Maryland |
Profile Details
| NPI number | 1912999657 |
|---|---|
| LBN Legal business name | Faulkner, Brent Cabell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Apr 9th, 2014 - about 10 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 | 1912999657 | NPPES |
| Maryland | Other | 017815A44 | MEDICARE ID |
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