Provider Demographics
NPI:1376835074
Name:JOSEPH F FAUST MD PLLC
Entity Type:Organization
Organization Name:JOSEPH F FAUST MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-529-2800
Mailing Address - Street 1:1151 HAL GREER BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3705
Mailing Address - Country:US
Mailing Address - Phone:304-529-2800
Mailing Address - Fax:304-529-2802
Practice Address - Street 1:1151 HAL GREER BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3705
Practice Address - Country:US
Practice Address - Phone:304-529-2800
Practice Address - Fax:304-529-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty