Faber, Jonathon

Faber, Jonathon is an sole proprietor health care provider with primary practice located at 42350 Grand River Ave , Novi MI 48375-1838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Faber, Jonathon can be contacted via phone (248) 697-2942.

Contact Information

Primary practice address
42350 Grand River Ave Novi MI 48375-1838
Phone: (248) 697-2942
Fax: (248) 436-6628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5101017744 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 34.010276 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101017744 Michigan

Profile Details

NPI number 1700048915
LBN Legal business name Faber, Jonathon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2008
Last updated Sep 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700048915 NPPES
Ohio MEDICAID 0054412

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