Faillace, Robert
Faillace, Robert is an individual health care provider with primary practice located at 3590 Camino Del Rio N Suite# 201, San Diego CA 92108-1707. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Faillace, Robert can be contacted via phone (619) 810-1204.Contact Information
Primary practice address
3590 Camino Del Rio N Suite# 201
San Diego CA 92108-1707
Phone: (619) 810-1204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AU1380 | California |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU1380 | California |
Profile Details
| NPI number | 1417971110 |
|---|---|
| LBN Legal business name | Faillace, Robert |
| Credentials | AUD, CCC/A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Dec 3rd, 2024 - about 2 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 | 1417971110 | NPPES |
| California | Other | AU0013800 | BLUE SHIELD |
| California | Other | AU1380 | BLUE SHIELD |
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