Fannin, Jamie

Fannin, Jamie is an individual health care provider with primary practice located at 135 E Maxwell St Ste 103 , Lexington KY 40508-2621. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as her primary health care specialty. Fannin, Jamie can be contacted via phone (859) 323-5424.

Contact Information

Primary practice address
135 E Maxwell St Ste 103 Lexington KY 40508-2621
Phone: (859) 323-5424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X Kentucky

Profile Details

NPI number 1790435543
LBN Legal business name Fannin, Jamie
Credentials MS, ACSM-CEP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2022
Last updated Mar 25th, 2022 - about 2 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 1790435543 NPPES
Kentucky MEDICAID 429776
Kentucky MEDICAID 1065850

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