Fairhurst, Colleen E
Fairhurst, Colleen E is an individual health care provider with primary practice located at 4275 Steels Pointe , Stow OH 44224-6841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fairhurst, Colleen E can be contacted via phone (330) 926-3495.Contact Information
Primary practice address
4275 Steels Pointe
Stow OH 44224-6841
Phone: (330) 926-3495
Fax: (330) 926-5864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 50.004744RX | Ohio |
Profile Details
| NPI number | 1093168114 |
|---|---|
| LBN Legal business name | Fairhurst, Colleen E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2016 |
| Last updated | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093168114 | NPPES |
| Ohio | MEDICAID | 0179398 |
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