Fair, Anthony James

Fair, Anthony James is an individual health care provider with primary practice located at 104 Northtown Dr , Sparta IL 62286-1081. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Fair, Anthony James can be contacted via phone (618) 282-6233.

Contact Information

Primary practice address
104 Northtown Dr Sparta IL 62286-1081
Phone: (618) 282-6233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2437595 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376324871
LBN Legal business name Fair, Anthony James
Credentials MA QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2023
Last updated May 22nd, 2024 - about 6 months 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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