Favila, Emmanuel

Favila, Emmanuel is an sole proprietor health care provider with primary practice located at 97 E Halt Dr , Terre Haute IN 47802-4285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Favila, Emmanuel can be contacted via phone (812) 238-2100.

Contact Information

Primary practice address
97 E Halt Dr Terre Haute IN 47802-4285
Phone: (812) 238-2100
Fax: (812) 232-7772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01039992 Indiana

Profile Details

NPI number 1598722399
LBN Legal business name Favila, Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated May 13th, 2010 - about 16 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 1598722399 NPPES
Indiana Other 00000092869 ANTHEM BLUE CROSS AND BLUE SHIELD
Indiana MEDICAID 100326580 ANTHEM BLUE CROSS AND BLUE SHIELD

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