Fabian, Thomas M

Fabian, Thomas M is an sole proprietor health care provider with primary practice located at 2625 Tamiami Trl Unit 1, Port Charlotte FL 33952-6478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fabian, Thomas M can be contacted via phone (941) 235-4646.

Contact Information

Primary practice address
2625 Tamiami Trl Unit 1 Port Charlotte FL 33952-6478
Phone: (941) 235-4646
Fax: (941) 235-4655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME46901 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D76130 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25.000270 Ohio

Profile Details

NPI number 1669466462
LBN Legal business name Fabian, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Mar 15th, 2016 - about 10 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 1669466462 NPPES
Florida Other P00195923F RAILROAD PROVIDER NUMBER

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