Fanous, Matthew Joseph

Fanous, Matthew Joseph is an individual health care provider with primary practice located at 597 Executive Campus Dr , Westerville OH 43082-8870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Fanous, Matthew Joseph can be contacted via phone (614) 392-3400.

Contact Information

Primary practice address
597 Executive Campus Dr Westerville OH 43082-8870
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X NONE ASSIGNED Ohio
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35128375 Ohio

Profile Details

NPI number 1679916977
LBN Legal business name Fanous, Matthew Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Apr 5th, 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.

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