Fay, Lorraine M

Fay, Lorraine M is an individual health care provider with primary practice located at 6629 W Central Ave , Toledo OH 43617-1098. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fay, Lorraine M can be contacted via phone (419) 517-1758.

Contact Information

Primary practice address
6629 W Central Ave Toledo OH 43617-1098
Phone: (419) 517-1758
Fax: (419) 517-1399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35049099 Ohio
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 35.049099 Ohio

Profile Details

NPI number 1114926045
LBN Legal business name Fay, Lorraine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Feb 21st, 2014 - about 12 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 1114926045 NPPES
Ohio Other 12-02007 UHC
Ohio Other 370020641 UHC
Ohio Other 4244898 UHC
Ohio Other 00415 UHC
Ohio MEDICAID 0516758 UHC
Ohio Other 000000354761 UHC

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