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
Phone: (815) 875-4531
Fax: (815) 872-1535
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750487666 | NPPES |
| Illinois | Other | 792113808 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 036052963 | RAILROAD MEDICARE |
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