Fearon, Jeffrey A

Fearon, Jeffrey A is an individual health care provider with primary practice located at 7777 Forest Ln Ste C700 , Dallas TX 75230-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Fearon, Jeffrey A can be contacted via phone (972) 566-6464.

Contact Information

Primary practice address
7777 Forest Ln Ste C700 Dallas TX 75230-2518
Phone: (972) 566-6464
Fax: (972) 566-6279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X H8638 Texas

Profile Details

NPI number 1538113592
LBN Legal business name Fearon, Jeffrey A
Credentials M.D.,F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 16th, 2017 - about 9 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 1538113592 NPPES
Minnesota MEDICAID 000E1668
Minnesota MEDICAID 10010045
Minnesota Other 00X682
Minnesota MEDICAID 118956501
Minnesota MEDICAID 1921297
Minnesota MEDICAID 208847509
Minnesota MEDICAID 91863803
Minnesota Other 0722264
Minnesota Other 8F5212
Minnesota MEDICAID 118956502
Minnesota MEDICAID 3858
Minnesota Other 5542707
Minnesota MEDICAID 093725201
Minnesota Other 86J892

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