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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1245592625 NPPES
Oregon MEDICAID 500725690
Oregon MEDICAID MEDICAID

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