Fay, Jonathan Dean
Fay, Jonathan Dean is an individual health care provider with primary practice located at 2640 Biehn St Ste 3 , Klamath Falls OR 97601-1181. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Fay, Jonathan Dean can be contacted via phone (541) 884-3148.Contact Information
Primary practice address
2640 Biehn St Ste 3
Klamath Falls OR 97601-1181
Phone: (541) 884-3148
Fax: (541) 884-3373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 283073 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD181538 | Oregon |
Profile Details
| NPI number | 1245592625 |
|---|---|
| LBN Legal business name | Fay, Jonathan Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Oct 22nd, 2020 - about 6 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 | 1245592625 | NPPES |
| Oregon | MEDICAID | 500725690 | |
| Oregon | MEDICAID | MEDICAID |
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