Favetto, Juan Martin

Favetto, Juan Martin is an individual health care provider with primary practice located at 3480 Yorkshire Medical Park , Lexington KY 40509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Favetto, Juan Martin can be contacted via phone (859) 263-5140.

Contact Information

Primary practice address
3480 Yorkshire Medical Park Lexington KY 40509
Phone: (859) 263-5140
Fax: (859) 263-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 34804 Kentucky
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 01051584A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34804 Kentucky

Profile Details

NPI number 1942294236
LBN Legal business name Favetto, Juan Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated May 16th, 2017 - about 8 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 1942294236 NPPES
Indiana MEDICAID 200152130A
Indiana MEDICAID 64348048

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