Provider Demographics
NPI:1326002767
Name:FABER, STEVEN M (MD FACG)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:FABER
Suffix:
Gender:M
Credentials:MD FACG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 HASTINGS LN
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909
Mailing Address - Country:US
Mailing Address - Phone:252-335-5588
Mailing Address - Fax:252-331-1504
Practice Address - Street 1:405 HASTINGS LN
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3327
Practice Address - Country:US
Practice Address - Phone:252-335-5588
Practice Address - Fax:252-335-9498
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35892207R00000X, 174400000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1326002767OtherIND NPI
NC1073663910OtherGROUP NPI
NC0131YOtherBLUE CROSS BLUE SHIELD
NC0131YOtherBLUE CROSS BLUE SHIELD
NC1073663910OtherGROUP NPI