Individual
DONALD FAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01067769A
IN
208000000X
Pediatrics Physician
57.013903
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000670768
ANTHEM PROVIDER NUMBER
IN
05
—
200980950
—
IN
Enumeration date
06/26/2008
Last updated
02/02/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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