Favero, Brian Val

Favero, Brian Val is an sole proprietor health care provider with primary practice located at 1033 River St Suite 2, Port Huron MI 48060-3463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Favero, Brian Val can be contacted via phone (810) 985-9600.

Contact Information

Primary practice address
1033 River St Suite 2 Port Huron MI 48060-3463
Fax: (810) 985-9244
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X BF064615 Michigan

Profile Details

NPI number 1639130024
LBN Legal business name Favero, Brian Val
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated May 19th, 2008 - 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 1639130024 NPPES
Michigan Other 0M34510001 MEDICARE INDIVIDUAL
Michigan Other 1807400532 MEDICARE INDIVIDUAL

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