Fark, Alan

Fark, Alan is an individual health care provider with primary practice located at 1061 Decker Dr , Miamisburg OH 45342-6415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fark, Alan can be contacted via phone (231) 492-4587.

Contact Information

Primary practice address
1061 Decker Dr Miamisburg OH 45342-6415
Phone: (231) 492-4587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.093391 Ohio

Profile Details

NPI number 1427192863
LBN Legal business name Fark, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Apr 24th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427192863 NPPES
Ohio MEDICAID 3110869
Ohio Other MI430448957
Ohio MEDICAID 200997410
Ohio Other AF048957
Ohio MEDICAID 104462999

Popular Providers