Fay, Mark Terrence

Fay, Mark Terrence is an individual health care provider with primary practice located at 2640 Biehn St , Klamath Falls OR 97601-1181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fay, Mark Terrence can be contacted via phone (541) 884-3148.

Contact Information

Primary practice address
2640 Biehn St 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 G58765 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD16253 Oregon

Profile Details

NPI number 1972563781
LBN Legal business name Fay, Mark Terrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 11th, 2021 - 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 1972563781 NPPES
Oregon Other F2640501647611 VISION SERVICE PLAN
Oregon Other A002 VISION SERVICE PLAN
Oregon Other XPY094350 VISION SERVICE PLAN
Oregon Other 004571003 VISION SERVICE PLAN
Oregon MEDICAID 042937 VISION SERVICE PLAN
Oregon Other 180011820 VISION SERVICE PLAN

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