Fava, Anthony Joseph

Fava, Anthony Joseph is an sole proprietor health care provider with primary practice located at 1425 Greenbrier Dear Rd , Anniston AL 36207-8706. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Fava, Anthony Joseph can be contacted via phone (256) 832-4051.

Contact Information

Primary practice address
1425 Greenbrier Dear Rd Anniston AL 36207-8706
Fax: (256) 832-4092
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14852 Alabama

Profile Details

NPI number 1295703973
LBN Legal business name Fava, Anthony Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Aug 9th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295703973 NPPES
Alabama MEDICAID 009918040

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