Fahey, Susan R

Fahey, Susan R is an individual health care provider with primary practice located at 210 Tacoma St , Grants Pass OR 97526-9370. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fahey, Susan R can be contacted via phone (541) 476-3302.

Contact Information

Primary practice address
210 Tacoma St Grants Pass OR 97526-9370
Phone: (541) 476-3302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1164797650
LBN Legal business name Fahey, Susan R
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2012
Last updated Mar 15th, 2012 - 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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