Fahey, Gail

Fahey, Gail is an sole proprietor health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3713. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Agencies / Foster Care Agency, Agencies / Case Management, Respite Care Facility / Respite Care. Agencies / Case Management is her primary health care specialty. Fahey, Gail can be contacted via phone (360) 696-4061.

Contact Information

Primary practice address
1601 E Fourth Plain Blvd Vancouver WA 98661-3713
Phone: (360) 696-4061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 33780981 Washington
Agencies / Foster Care Agency 253J00000X 4054878 Washington
Agencies / Case Management 251B00000X 4028798 Washington
Respite Care Facility / Respite Care 385H00000X 60167155 Washington

Profile Details

NPI number 1174915151
LBN Legal business name Fahey, Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2015
Last updated Jan 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174915151 NPPES
Washington Other 680-709 ICD-9CM
Washington Other CIMC ICD-9CM
Washington Other P100, P300 ICD-9CM
Washington Other 390-459 ICD-9CM
Washington Other C100, C200, C300 ICD-9CM
Washington Other C400 ICD-9CM
Washington Other CEMC ICD-9CM
Washington Other CFPC ICD-9CM
Washington Other T1015 ICD-9CM
Washington Other 740-759 ICD-9CM
Washington Other CHONC ICD-9CM
Washington Other L100, L300, A100 ICD-9CM
Washington Other 1174915151 ICD-9CM
Washington Other 140-239 ICD-9CM
Washington Other CEDC ICD-9CM

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