Fayn, Yekaterina

Fayn, Yekaterina is an individual health care provider with primary practice located at 800 E Locust St , Olney IL 62450-2553. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Fayn, Yekaterina can be contacted via phone (618) 392-1139.

Contact Information

Primary practice address
800 E Locust St Olney IL 62450-2553
Phone: (618) 392-1139
Fax: (618) 392-1138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01069692A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036117305 Illinois

Profile Details

NPI number 1699934471
LBN Legal business name Fayn, Yekaterina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Nov 17th, 2023 - about 3 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 1699934471 NPPES
Illinois Other F400434935 MEDICARE NUMBER
Illinois Other 036117305 MEDICARE NUMBER
Illinois MEDICAID 036117305 MEDICARE NUMBER
Illinois Other 336078451 MEDICARE NUMBER
Illinois MEDICAID 201025070 MEDICARE NUMBER
Illinois Other 1699934471 MEDICARE NUMBER

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