Faulkner, Michael Wade

Faulkner, Michael Wade is an individual health care provider with primary practice located at 2601 Kentucky Ave Suite 301, Paducah KY 42003-3817. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Faulkner, Michael Wade can be contacted via phone (270) 575-3113.

Contact Information

Primary practice address
2601 Kentucky Ave Suite 301 Paducah KY 42003-3817
Phone: (270) 575-3113
Fax: (270) 575-3135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43640 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 43640 Kentucky
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 43640 Kentucky

Profile Details

NPI number 1336342427
LBN Legal business name Faulkner, Michael Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Dec 4th, 2020 - about 6 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 1336342427 NPPES
Kentucky MEDICAID 7100182590

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