Farabaugh, William Norval

Farabaugh, William Norval is an individual health care provider with primary practice located at 1815 E Ireland Rd , South Bend IN 46614-2845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Farabaugh, William Norval can be contacted via phone (574) 647-1700.

Contact Information

Primary practice address
1815 E Ireland Rd South Bend IN 46614-2845
Phone: (574) 647-1700
Fax: (574) 647-7572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01059548A Indiana

Profile Details

NPI number 1639167901
LBN Legal business name Farabaugh, William Norval
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Apr 1st, 2021 - about 5 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 1639167901 NPPES
Indiana Other P00142860 RR MEDICARE
Indiana Other 000000334831 RR MEDICARE
Indiana MEDICAID 200491800 RR MEDICARE

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