Fairfax, Theresa

Fairfax, Theresa is an sole proprietor health care provider with primary practice located at 1600Rt 35 N , Seaside Heights NJ 08751. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fairfax, Theresa can be contacted via phone (793) 793-2890.

Contact Information

Primary practice address
1600Rt 35 N Seaside Heights NJ 08751
Phone: (793) 793-2890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI02788100 New Jersey

Profile Details

NPI number 1801492285
LBN Legal business name Fairfax, Theresa
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 2020 - about 4 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 1801492285 NPPES
Other 1497850721 NPI

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