Fajer, Mary Y
Fajer, Mary Y is an sole proprietor health care provider with primary practice located at 4677 Commercial St Se , Salem OR 97302-1901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fajer, Mary Y can be contacted via phone (503) 585-5131.Contact Information
Primary practice address
4677 Commercial St Se
Salem OR 97302-1901
Phone: (503) 585-5131
Fax: (503) 585-4065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2625 | Oregon |
Profile Details
| NPI number | 1699753095 |
|---|---|
| LBN Legal business name | Fajer, Mary Y |
| Credentials | PT OCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Dec 19th, 2011 - about 14 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 | 1699753095 | NPPES |
| Oregon | MEDICAID | 207105 |
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