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Contact Information

JONATHAN D FAY, MD
2640 BIEHN ST STE 3
KLAMATH FALLS, OR97601-1181
 Phone: 541-884-3148
 Fax: 541-884-3373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JONATHAN D FAY · (Male)

NPI Number 1245592625
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2012
Last updated 10/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 283073
  • OR License # MD181538
  • NY Medicaid MEDICAID
  • OR Medicaid 500725690
Hospital affiliation(s)
  • SKY LAKES MEDICAL CENTER - (Acute Care)
    2865 DAGGETT AVENUE
    KLAMATH FALLS, OR 97601
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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