Fausnaught, Todd Wayne
Fausnaught, Todd Wayne is an individual health care provider with primary practice located at 549 Fair St , Bloomsburg PA 17815-1419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Fausnaught, Todd Wayne can be contacted via phone (570) 387-2055.Contact Information
Primary practice address
549 Fair St
Bloomsburg PA 17815-1419
Phone: (570) 387-2055
Fax: (570) 387-2056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD420382 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 0101267603 | Virginia |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | MD420382 | Pennsylvania |
Profile Details
| NPI number | 1538137070 |
|---|---|
| LBN Legal business name | Fausnaught, Todd Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Mar 29th, 2023 - about 3 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 | 1538137070 | NPPES |
| Pennsylvania | Other | 6528 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 816892 | GEISINGER HEALTH PLAN |
| Pennsylvania | MEDICAID | 0018752330005 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 002616 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 7379443 | GEISINGER HEALTH PLAN |
| Pennsylvania | MEDICAID | 0018752330004 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 1470448 | GEISINGER HEALTH PLAN |
| Pennsylvania | MEDICAID | 0018752330006 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | H80482 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 2517565 | GEISINGER HEALTH PLAN |
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