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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770560724 NPPES
Ohio MEDICAID 2890359

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