Fair, Susan Carole
Fair, Susan Carole is an sole proprietor health care provider with primary practice located at 595 N Courtenay Pkwy Suite 102, Merritt Island FL 32953-4851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fair, Susan Carole can be contacted via phone (321) 455-1226.Contact Information
Primary practice address
595 N Courtenay Pkwy Suite 102
Merritt Island FL 32953-4851
Phone: (321) 455-1226
Fax: (321) 456-5531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS7489 | Florida |
Profile Details
| NPI number | 1457351223 |
|---|---|
| LBN Legal business name | Fair, Susan Carole |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Aug 1st, 2007 - about 18 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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