Fawcett, Joseph M

Fawcett, Joseph M is an individual health care provider with primary practice located at 1134 N Main St Ste 3100 , Bellefontaine OH 43311-0017. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fawcett, Joseph M can be contacted via phone (937) 651-6441.

Contact Information

Primary practice address
1134 N Main St Ste 3100 Bellefontaine OH 43311-0017
Fax: (937) 651-6442
Website:

Profile Details

NPI number 1124405717
LBN Legal business name Fawcett, Joseph M
Credentials PA, MHSA, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2015
Last updated Jun 10th, 2024 - about last year

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 1124405717 NPPES
Ohio MEDICAID 0371852

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