Kearby, Feonia Farrah
Kearby, Feonia Farrah is an sole proprietor health care provider with primary practice located at 111 Springhall Dr , Goose Creek SC 29445-5351. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kearby, Feonia Farrah can be contacted via phone (866) 773-3534.Contact Information
Primary practice address
111 Springhall Dr
Goose Creek SC 29445-5351
Phone: (866) 773-3534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 020015474 | Illinois |
| Dental Providers / Dental Hygienist | 124Q00000X | 1002971-16 | Wisconsin |
Profile Details
| NPI number | 1083163984 |
|---|---|
| LBN Legal business name | Kearby, Feonia Farrah |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2016 |
| Last updated | Apr 10th, 2023 - about 3 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 | 1083163984 | NPPES |
| Wisconsin | MEDICAID | 390806251 | |
| Wisconsin | Other | 390806251 |
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