Fallon, Brian Andrew

Fallon, Brian Andrew is an individual health care provider with primary practice located at 803 E. 68Th Street , Savannah GA 31405-4709. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Fallon, Brian Andrew can be contacted via phone (912) 355-4557.

Contact Information

Primary practice address
803 E. 68Th Street Savannah GA 31405-4709
Phone: (912) 355-4557
Fax: (912) 355-3186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005952-1 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001202 Georgia

Profile Details

NPI number 1407826845
LBN Legal business name Fallon, Brian Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 10th, 2012 - about 14 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 1407826845 NPPES
New York MEDICAID 02542836

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