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Contact Information

TED FAULL, MD
900 TRAILWOOD DR
BOARDMAN, OH44512-5007
 Phone: 330-726-2575
 Fax: 330-921-9319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TED FAULL · (Male)

NPI Number 1770560724
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2005
Last updated 04/09/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 36082109
  • OH License # 35.091967
  • OH Medicaid 2890359
Hospital affiliation(s)
  • EAST LIVERPOOL CITY HOSPITAL - (Acute Care)
    425 WEST 5TH STREET
    EAST LIVERPOOL, OH 43920
  • ST ELIZABETH HEALTH CENTER - (Acute Care)
    1044 BELMONT AVENUE
    YOUNGSTOWN, OH 44501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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