Fahey, David A

Fahey, David A is an individual health care provider with primary practice located at 301 Governors Dr Sw , Huntsville AL 35801-5123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fahey, David A can be contacted via phone (256) 551-4611.

Contact Information

Primary practice address
301 Governors Dr Sw Huntsville AL 35801-5123
Fax: (256) 551-4619
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 74706 Massachusetts

Profile Details

NPI number 1528041506
LBN Legal business name Fahey, David A
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 28th, 2015 - about 11 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 1528041506 NPPES
Massachusetts MEDICAID 3084469

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