Fallon, Michael Joseph

Fallon, Michael Joseph is an individual health care provider with primary practice located at 2200 Craig Rd , Eau Claire WI 54701-2699. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Fallon, Michael Joseph can be contacted via phone (715) 858-8100.

Contact Information

Primary practice address
2200 Craig Rd Eau Claire WI 54701-2699
Phone: (715) 858-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 197667 New York
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036153253 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 38962 Wisconsin

Profile Details

NPI number 1184623381
LBN Legal business name Fallon, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Apr 20th, 2023 - about 3 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 1184623381 NPPES
New York MEDICAID 02164501

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