Fain, George David

Fain, George David is an sole proprietor health care provider with primary practice located at 1 Marks Rd , Ocean Springs MS 39564-4351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fain, George David can be contacted via phone (228) 818-0563.

Contact Information

Primary practice address
1 Marks Rd Ocean Springs MS 39564-4351
Fax: (228) 818-0519
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 09296 Mississippi

Profile Details

NPI number 1497818579
LBN Legal business name Fain, George David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1497818579 NPPES
Mississippi MEDICAID 00016739

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