Faust, Jonathan Andrew
Faust, Jonathan Andrew is an individual health care provider with primary practice located at 14700 28Th Ave N Suite 20, Plymouth MN 55447-4835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Faust, Jonathan Andrew can be contacted via phone (763) 559-3779.Contact Information
Primary practice address
14700 28Th Ave N Suite 20
Plymouth MN 55447-4835
Phone: (763) 559-3779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 49717 | Minnesota |
Profile Details
| NPI number | 1740309285 |
|---|---|
| LBN Legal business name | Faust, Jonathan Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Aug 17th, 2010 - about 14 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 | 1740309285 | NPPES |
| Minnesota | MEDICAID | 371692000 |
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