Faulkner, Michael Wade
Faulkner, Michael Wade is an individual health care provider with primary practice located at 2601 Kentucky Ave Suite 301, Paducah KY 42003-3817. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Faulkner, Michael Wade can be contacted via phone (270) 575-3113.Contact Information
Primary practice address
2601 Kentucky Ave Suite 301
Paducah KY 42003-3817
Phone: (270) 575-3113
Fax: (270) 575-3135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43640 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 43640 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 43640 | Kentucky |
Profile Details
| NPI number | 1336342427 |
|---|---|
| LBN Legal business name | Faulkner, Michael Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Dec 4th, 2020 - about 5 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 | 1336342427 | NPPES |
| Kentucky | MEDICAID | 7100182590 |
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