Homan, Fay F

Homan, Fay F is an individual health care provider with primary practice located at 65 Main St , Wells River VT 05081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Homan, Fay F can be contacted via phone (802) 757-2325.

Contact Information

Primary practice address
65 Main St Wells River VT 05081
Fax: (802) 757-3215
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 420008813 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9042 New Hampshire

Profile Details

NPI number 1588619647
LBN Legal business name Homan, Fay F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 16th, 2010 - about 14 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 1588619647 NPPES
Vermont MEDICAID 0VN0716
Vermont Other 080051103

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