Fuentes, Faith D
Fuentes, Faith D is an sole proprietor health care provider with primary practice located at 4011 Orchard Dr Suite 4012, Midland MI 48640-6190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Fuentes, Faith D can be contacted via phone (989) 839-2855.Contact Information
Primary practice address
4011 Orchard Dr Suite 4012
Midland MI 48640-6190
Phone: (989) 839-2855
Fax: (989) 839-7296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | FF054990 | Michigan |
Profile Details
| NPI number | 1619013646 |
|---|---|
| LBN Legal business name | Fuentes, Faith D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619013646 | NPPES |
| Michigan | MEDICAID | 2573630 |
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