Fairbanks, Amy

Fairbanks, Amy is an sole proprietor health care provider with primary practice located at 2565 Judge Fran Jamieson Way , Viera FL 32940-5998. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fairbanks, Amy can be contacted via phone (321) 409-2136.

Contact Information

Primary practice address
2565 Judge Fran Jamieson Way Viera FL 32940-5998
Phone: (321) 409-2136
Fax: (321) 409-2140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1629488838
LBN Legal business name Fairbanks, Amy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2014
Last updated Apr 28th, 2014 - about 11 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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