Fay, David L

Fay, David L is an individual health care provider with primary practice located at 2130 Stout St , Denver CO 80205-2827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fay, David L can be contacted via phone (303) 293-2220.

Contact Information

Primary practice address
2130 Stout St Denver CO 80205-2827
Phone: (303) 293-2220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42443 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55525 Colorado

Profile Details

NPI number 1104898915
LBN Legal business name Fay, David L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 17th, 2018 - about 7 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 1104898915 NPPES
Wisconsin MEDICAID 33339200
Wisconsin MEDICAID 85680052
Wisconsin MEDICAID 1104898915

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