Fackrell, Cecil J
Fackrell, Cecil J is an individual health care provider with primary practice located at 6333 Long Ave Suite 360, Shawnee KS 66216-2500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fackrell, Cecil J can be contacted via phone (913) 631-6330.Contact Information
Primary practice address
6333 Long Ave Suite 360
Shawnee KS 66216-2500
Phone: (913) 631-6330
Fax: (913) 631-6222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-01306 | Kansas |
Profile Details
| NPI number | 1174646400 |
|---|---|
| LBN Legal business name | Fackrell, Cecil J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Mar 15th, 2017 - about 8 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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