Fawcett, Blythe E

Fawcett, Blythe E is an individual health care provider with primary practice located at 37 W Garden St Ste 105 , Auburn NY 13021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fawcett, Blythe E can be contacted via phone (315) 252-0000.

Contact Information

Primary practice address
37 W Garden St Ste 105 Auburn NY 13021
Phone: (315) 252-0000
Fax: (315) 252-0070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009708 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 009708 New York

Profile Details

NPI number 1306986294
LBN Legal business name Fawcett, Blythe E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 8th, 2018 - about 6 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 1306986294 NPPES
New York MEDICAID 03444915

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