Fairfax, Heather
Fairfax, Heather is an sole proprietor health care provider with primary practice located at 2601 Wheatland Woods Dr , Fredericksburg VA 22408-0801. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fairfax, Heather can be contacted via phone (540) 899-3100.Contact Information
Primary practice address
2601 Wheatland Woods Dr
Fredericksburg VA 22408-0801
Phone: (540) 899-3100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 48119 | California |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3308 | Louisiana |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 14864 | Texas |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004711 | Virginia |
Profile Details
NPI number | 1326167438 |
---|---|
LBN Legal business name | Fairfax, Heather |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2007 |
Last updated | Feb 5th, 2019 - about 5 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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