Provider Demographics
NPI:1508550914
Name:FAIN, MILAN L
Entity Type:Individual
Prefix:
First Name:MILAN
Middle Name:L
Last Name:FAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32860 HAGERTY RD
Mailing Address - Street 2:
Mailing Address - City:MC ARTHUR
Mailing Address - State:OH
Mailing Address - Zip Code:45651-8629
Mailing Address - Country:US
Mailing Address - Phone:740-771-1015
Mailing Address - Fax:
Practice Address - Street 1:32860 HAGERTY RD
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-8629
Practice Address - Country:US
Practice Address - Phone:740-771-1015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant