Fay, John Matthew
Fay, John Matthew is an individual health care provider with primary practice located at 3917 West Road Suite A Mannm, Los Alamos NM 87544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fay, John Matthew can be contacted via phone (505) 661-8900.Contact Information
Primary practice address
3917 West Road Suite A Mannm
Los Alamos NM 87544
Phone: (505) 661-8900
Fax: (505) 661-8916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR44193 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD20060672 | New Mexico |
Profile Details
| NPI number | 1104888783 |
|---|---|
| LBN Legal business name | Fay, John Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jan 17th, 2012 - about 13 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 | 1104888783 | NPPES |
| New Mexico | MEDICAID | 53123877 |
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