Faust, Deidre L
Faust, Deidre L is an individual health care provider with primary practice located at 13133 N Port Washington Road Suite G18, Mequon WI 53097-2420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Faust, Deidre L can be contacted via phone (262) 243-5000.Contact Information
Primary practice address
13133 N Port Washington Road Suite G18
Mequon WI 53097-2420
Phone: (262) 243-5000
Fax: (262) 243-2527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44807-20 | Wisconsin |
Profile Details
| NPI number | 1154372092 |
|---|---|
| LBN Legal business name | Faust, Deidre L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Nov 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154372092 | NPPES |
| Wisconsin | MEDICAID | 1154372092 |
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