Fahey, Patricia

Fahey, Patricia is an individual health care provider with primary practice located at 887 Congress St Suite 210, Portland ME 04102-3100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fahey, Patricia can be contacted via phone (207) 774-2544.

Contact Information

Primary practice address
887 Congress St Suite 210 Portland ME 04102-3100
Phone: (207) 774-2544
Fax: (207) 774-0459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R034517 Maine

Profile Details

NPI number 1114077039
LBN Legal business name Fahey, Patricia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114077039 NPPES
Maine MEDICAID 431740799
Maine MEDICAID 30343484

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