Fair, Constance S
Fair, Constance S is an individual health care provider with primary practice located at 3900 Woodland Ave , Philadelphia PA 19104-4551. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Perioperative. Physician Assistants & Advanced Practice Nursing Providers / Perioperative is her primary health care specialty. Fair, Constance S can be contacted via phone (252) 241-9898.Contact Information
Primary practice address
3900 Woodland Ave
Philadelphia PA 19104-4551
Phone: (252) 241-9898
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-01710 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Perioperative | 364SP2800X | MA060918 | Pennsylvania |
Profile Details
NPI number | 1720227309 |
---|---|
LBN Legal business name | Fair, Constance S |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2009 |
Last updated | Jun 22nd, 2021 - about 3 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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