Faircloth, Deborah

Faircloth, Deborah is an sole proprietor health care provider with primary practice located at 851 Outlaw Rd , Dudley NC 28333-8145. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Faircloth, Deborah can be contacted via phone (910) 290-0291.

Contact Information

Primary practice address
851 Outlaw Rd Dudley NC 28333-8145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1841438439
LBN Legal business name Faircloth, Deborah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2009
Last updated Mar 25th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841438439 NPPES
North Carolina MEDICAID 8302553

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