Navarrete Faubla, Jaime Ignacio

Navarrete Faubla, Jaime Ignacio is an individual health care provider with primary practice located at 1400 Pin Oak Dr , Carterville IL 62918. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Navarrete Faubla, Jaime Ignacio can be contacted via phone (618) 985-3333.

Contact Information

Primary practice address
1400 Pin Oak Dr Carterville IL 62918
Phone: (618) 985-3333
Fax: (618) 985-1318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 258375 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036.144721 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 258375 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 258375 New York

Profile Details

NPI number 1285884841
LBN Legal business name Navarrete Faubla, Jaime Ignacio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2008
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285884841 NPPES
New York MEDICAID 03357820

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