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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285884841 | NPPES |
| New York | MEDICAID | 03357820 |
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