DR. JEFFREY S FAIT NPI 1104990225

NPI Information

NPI: 1104990225
Provider Name: DR. JEFFREY S FAIT
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Individual

Specialization: Forensic Psychiatry

Address:
2200 BERGQUIST DR STE 1
ATTN CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236
Phone: (210) 292-7395
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DR. Jeffrey S Fait is a forensic psychiatry psychiatry neurology in Lackland A F B, TX. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. DR. Jeffrey S Fait NPI is 1104990225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 BERGQUIST DR STE 1
ATTN CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236-908
Phone: (210) 292-7395

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	46069-020	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010500905	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
2	I46893	MEDICARE UPIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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