Faust, Frederick M.

Faust, Frederick M. is an individual health care provider with primary practice located at 1540 E Evergreen St , Springfield MO 65803-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Faust, Frederick M. can be contacted via phone (417) 823-2900.

Contact Information

Primary practice address
1540 E Evergreen St Springfield MO 65803-4300
Fax: (417) 886-2774
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2003018912 Missouri

Profile Details

NPI number 1346350162
LBN Legal business name Faust, Frederick M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 4th, 2026 - about last week

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 1346350162 NPPES
Missouri MEDICAID 209181007

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