Canonical ID: us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Walterboro, SC 29488 | eng | us_sc_med_exclusions | us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 | |||
LegalEntity:id | df88f958ac8e842746e18255485676076795aaf9 | eng | us_sc_med_exclusions | us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 | |||
LegalEntity:name | Faaberg, Jeffrey Evan | eng | us_sc_med_exclusions | us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 | |||
LegalEntity:npiCode | 1760487870 | eng | us_sc_med_exclusions | us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 | |||
LegalEntity:sector | Physician (MD, DO) - Pain Management (Anesthesiology) | eng | us_sc_med_exclusions | us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-c4a3752f5b9c26491f6cf81462e7108b98423369 | |||