Anderson, Fawn Burns

Anderson, Fawn Burns is an individual health care provider with primary practice located at 1 Widger Rd , Marblehead MA 01945. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Anderson, Fawn Burns can be contacted via phone (781) 631-8250.

Contact Information

Primary practice address
1 Widger Rd Marblehead MA 01945
Phone: (781) 631-8250
Fax: (781) 639-2060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13087 Massachusetts

Profile Details

NPI number 1154306439
LBN Legal business name Anderson, Fawn Burns
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154306439 NPPES
Massachusetts MEDICAID 0702099
Massachusetts Other Y68380

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