Faber, Martin

Faber, Martin is an individual health care provider with primary practice located at 530 Park Ave E , Princeton IL 61356-3901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Faber, Martin can be contacted via phone (815) 875-4531.

Contact Information

Primary practice address
530 Park Ave E Princeton IL 61356-3901
Fax: (815) 872-1535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3652963 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036052963 Illinois

Profile Details

NPI number 1750487666
LBN Legal business name Faber, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Apr 15th, 2010 - about 16 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 1750487666 NPPES
Illinois Other 792113808 RAILROAD MEDICARE
Illinois MEDICAID 036052963 RAILROAD MEDICARE

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