Fairless, Carol Sue

Fairless, Carol Sue is an individual health care provider with primary practice located at 408 E Vine St , Vienna IL 62995-1612. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Case Management is her primary health care specialty. Fairless, Carol Sue can be contacted via phone (618) 658-2611.

Contact Information

Primary practice address
408 E Vine St Vienna IL 62995-1612
Phone: (618) 658-2611
Fax: (618) 658-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X Illinois
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X Illinois

Profile Details

NPI number 1619080082
LBN Legal business name Fairless, Carol Sue
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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