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
Phone: (937) 651-6441
Fax: (937) 651-6442
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2601001048 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.006182RX | Ohio |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124405717 | NPPES |
Ohio | MEDICAID | 0371852 |
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