John J Fath
Surgical Critical Care
18101 Oakwood Blvd
Dearborn
, Michigan 48124-4089
John J Fath
Surgical Critical Care
18101 Oakwood Blvd
Dearborn
, Michigan 48124-4089
(419) 383-2050
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About
Features
Specialties
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- John J Fath
- 3355 Glendale Ave 3rd Floor
- Toledo, OH
- Zip : 43614-2426
- Fax : (419) 383-2050
- Phone : (419) 383-7146
Second Address
- John J Fath
- 18101 Oakwood Blvd
- Dearborn, MI
- Zip : 48124-4089
- Phone : (313) 982-5440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | 4301051219 | MI |
National Provider Identifier
| NPI | 1013909837 |
|---|---|
| Provider Name | John J Fath |
| First Address | Toledo, OH 43614-2426 |
| Second Address | Dearborn, MI 48124-4089 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 24/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4301051219 | CONTROLLED SUSBSTANCE (01) | MI |
| 465852010 | (05) | MI |
| AF1642126 | FEDERAL DEA (01) | MI |
| B48974 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.