Faust, Allan

Faust, Allan is an individual health care provider with primary practice located at 7901 Angling Rd , Portage MI 49024-0714. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Faust, Allan can be contacted via phone (269) 324-8405.

Contact Information

Primary practice address
7901 Angling Rd Portage MI 49024-0714
Phone: (269) 324-8405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002043 Michigan

Profile Details

NPI number 1396851473
LBN Legal business name Faust, Allan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1396851473 NPPES
Michigan MEDICAID 757-4431

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