Imbing, Fausto

Imbing, Fausto is an individual health care provider with primary practice located at 306 Stanaford Rd , Beckley WV 25801-3142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Imbing, Fausto can be contacted via phone (606) 574-8366.

Contact Information

Primary practice address
306 Stanaford Rd Beckley WV 25801-3142
Fax: (606) 574-8013
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 19228 West Virginia

Profile Details

NPI number 1134128358
LBN Legal business name Imbing, Fausto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 9th, 2007 - about 17 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 1134128358 NPPES
Kentucky MEDICAID 64072531
Kentucky MEDICAID 6594529700
Kentucky MEDICAID 0104280000

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