Fairchild, Carol Jeanette
Fairchild, Carol Jeanette is an individual health care provider with primary practice located at 2020 Commerce Dr , Melbourne FL 32904-2335. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fairchild, Carol Jeanette can be contacted via phone (321) 952-6000.Contact Information
Primary practice address
2020 Commerce Dr
Melbourne FL 32904-2335
Phone: (321) 952-6000
Fax: (321) 637-3648
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | ARNP2992062 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ARNP2992062 | Florida |
Profile Details
NPI number | 1972565547 |
---|---|
LBN Legal business name | Fairchild, Carol Jeanette |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Feb 28th, 2024 - about 9 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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