Fazil, Fariahh

Fazil, Fariahh is an individual health care provider with primary practice located at 2 Good Samaritan Way Ste 235 , Mount Vernon IL 62864-2476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fazil, Fariahh can be contacted via phone (618) 899-3980.

Contact Information

Primary practice address
2 Good Samaritan Way Ste 235 Mount Vernon IL 62864-2476
Phone: (618) 899-3980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209019228 Illinois

Profile Details

NPI number 1053954503
LBN Legal business name Fazil, Fariahh
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2019
Last updated Oct 19th, 2020 - about 4 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 1053954503 NPPES
Illinois Other 209019228 LICENSE

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