Fawcett, Jeffrey
Fawcett, Jeffrey is an individual health care provider with primary practice located at 411 Billingsley Rd Ste 104 , Charlotte NC 28211-1066. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Fawcett, Jeffrey can be contacted via phone (704) 377-7099.Contact Information
Primary practice address
411 Billingsley Rd Ste 104
Charlotte NC 28211-1066
Phone: (704) 377-7099
Fax: (704) 377-7983
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X |
Profile Details
NPI number | 1639591753 |
---|---|
LBN Legal business name | Fawcett, Jeffrey |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2014 |
Last updated | Jan 8th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639591753 | NPPES |
North Carolina | MEDICAID | 1891869780 |
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