Imm, Faye Michelle

Imm, Faye Michelle is an individual health care provider with primary practice located at 801 Medical Dr Suite A, Lima OH 45804-4099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Imm, Faye Michelle can be contacted via phone (419) 222-6622.

Contact Information

Primary practice address
801 Medical Dr Suite A Lima OH 45804-4099
Fax: (419) 224-0015
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.002222 Ohio

Profile Details

NPI number 1619974730
LBN Legal business name Imm, Faye Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jan 15th, 2018 - about 8 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 1619974730 NPPES
Other 000000521052 ANTHEM

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