Fahey, John
Fahey, John is an individual health care provider with primary practice located at 13850 W Capitol Dr , Brookfield WI 53005-2422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fahey, John can be contacted via phone (262) 790-1118.Contact Information
Primary practice address
13850 W Capitol Dr
Brookfield WI 53005-2422
Phone: (262) 790-1118
Fax: (262) 790-2070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 24511 | Wisconsin |
Profile Details
| NPI number | 1487663811 |
|---|---|
| LBN Legal business name | Fahey, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 1st, 2021 - about 5 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 | 1487663811 | NPPES |
| Wisconsin | Other | P00836831 | RR MEDICARE |
| Wisconsin | MEDICAID | 3069900 | RR MEDICARE |
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