| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jacob C. Faust · Jcob Chase Faust | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Jacob | [sources] | |||
| ID Number | SW136781 | [sources] | |||
| Last name | Faust | [sources] | |||
| Middle name | C. | [sources] | |||
| NPI | 1447658141 | [sources] | |||
| Position | LSW | [sources] | |||
| Address | Dauphin, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medde-535ebffe4750f9fe26c5a0737053167c0930ab03 · us-medpa-4d680f76ff9ec0e7e912e84dee7e120eb0e78819For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Dauphin, PA | United States | |
| United States | Department of Human Services | - | - |