Fumo, David
Fumo, David is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Fumo, David can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5165 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 448-7619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301502961 | Michigan |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35.139890 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01089444A | Indiana |
Profile Details
| NPI number | 1114314556 |
|---|---|
| LBN Legal business name | Fumo, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2015 |
| Last updated | Nov 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114314556 | NPPES |
| Indiana | Other | 815500558 | MEDICARE PTAN |
| Indiana | MEDICAID | 300073235 | MEDICARE PTAN |
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