Fauerbach, Philip John
Fauerbach, Philip John is an individual health care provider with primary practice located at 915 S Parsons Ave # C, Brandon FL 33511-6008. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fauerbach, Philip John can be contacted via phone (813) 651-1221.Contact Information
Primary practice address
915 S Parsons Ave # C
Brandon FL 33511-6008
Phone: (813) 651-1221
Fax: (813) 657-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH3399 | Florida |
Profile Details
| NPI number | 1912125527 |
|---|---|
| LBN Legal business name | Fauerbach, Philip John |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Nov 11th, 2015 - about 9 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 | 1912125527 | NPPES |
| Florida | MEDICAID | 761087400 |
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