Fano, Evelyn

Fano, Evelyn is an sole proprietor health care provider with primary practice located at 101 Glenbrook Rd , Freehold NJ 07728-1512. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fano, Evelyn can be contacted via phone (732) 294-7428.

Contact Information

Primary practice address
101 Glenbrook Rd Freehold NJ 07728-1512
Phone: (732) 294-7428
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 46TR00071100 New Jersey

Profile Details

NPI number 1114399029
LBN Legal business name Fano, Evelyn
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2015
Last updated Oct 30th, 2015 - about 10 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 1114399029 NPPES
New Jersey Other 46TR00071100 OCCUPATIONAL THERAPIST

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