Fayard, Nicholas John
Fayard, Nicholas John is an individual health care provider with primary practice located at 2525 Telephone Rd , Pascagoula MS 39567-3202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fayard, Nicholas John can be contacted via phone (228) 762-4483.Contact Information
Primary practice address
2525 Telephone Rd
Pascagoula MS 39567-3202
Phone: (228) 762-4483
Fax: (228) 762-3147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22051 | Mississippi |
Profile Details
| NPI number | 1114126042 |
|---|---|
| LBN Legal business name | Fayard, Nicholas John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Mar 2nd, 2022 - about 3 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 | 1114126042 | NPPES |
| Mississippi | MEDICAID | 09129044 |
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