Fanego, Luis Felipe

Fanego, Luis Felipe is an sole proprietor health care provider with primary practice located at 3180 Fort St , Lincoln Park MI 48146-3631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fanego, Luis Felipe can be contacted via phone (313) 389-5588.

Contact Information

Primary practice address
3180 Fort St Lincoln Park MI 48146-3631
Phone: (313) 389-5588
Fax: (313) 389-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LF053797 Michigan

Profile Details

NPI number 1639260573
LBN Legal business name Fanego, Luis Felipe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1639260573 NPPES
Michigan Other 1108267832 BCBSM
Michigan MEDICAID 4121372 BCBSM

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