Fadely, Eric Wesley

Fadely, Eric Wesley is an sole proprietor health care provider with primary practice located at 3000 N Atlantic Ave Ste 102 , Cocoa Beach FL 32931-5045. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fadely, Eric Wesley can be contacted via phone (321) 784-5367.

Contact Information

Primary practice address
3000 N Atlantic Ave Ste 102 Cocoa Beach FL 32931-5045
Phone: (321) 784-5367
Fax: (321) 783-2290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH 8755 Florida

Profile Details

NPI number 1174819650
LBN Legal business name Fadely, Eric Wesley
Credentials MA MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2011
Last updated Jun 23rd, 2011 - about 13 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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