Fahrner, Lester J.

Fahrner, Lester J. is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Fahrner, Lester J. can be contacted via phone (217) 366-1248.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3909
Phone: (217) 366-1248
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-077871 Illinois

Profile Details

NPI number 1811903677
LBN Legal business name Fahrner, Lester J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 15th, 2014 - 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 1811903677 NPPES
Other 070004611 RAILROAD MEDICARE
Other 279500 RAILROAD MEDICARE
MEDICAID 036077871 1 RAILROAD MEDICARE

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