Faull, Ted
Faull, Ted is an sole proprietor health care provider with primary practice located at 900 Trailwood Dr , Boardman OH 44512-5007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Faull, Ted can be contacted via phone (330) 726-2575.Contact Information
Primary practice address
900 Trailwood Dr
Boardman OH 44512-5007
Phone: (330) 726-2575
Fax: (330) 921-9319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36082109 | Illinois |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 35.091967 | Ohio |
Profile Details
| NPI number | 1770560724 |
|---|---|
| LBN Legal business name | Faull, Ted |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Apr 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770560724 | NPPES |
| Ohio | MEDICAID | 2890359 |
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