Faulkner, S Blair
Faulkner, S Blair is an individual health care provider with primary practice located at 340 S Willard St , Cottonwood AZ 86326-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Faulkner, S Blair can be contacted via phone (928) 639-6025.Contact Information
Primary practice address
340 S Willard St
Cottonwood AZ 86326-4126
Phone: (928) 639-6025
Fax: (928) 649-7921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 38052 | Arizona |
Profile Details
| NPI number | 1255369302 |
|---|---|
| LBN Legal business name | Faulkner, S Blair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255369302 | NPPES |
| Mississippi | MEDICAID | 0116839 | |
| Mississippi | MEDICAID | 316409 | |
| Mississippi | Other | P01108741 |
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