Fabry, Mary Ann Theresa

Fabry, Mary Ann Theresa is an sole proprietor health care provider with primary practice located at 105 W Q St Ste 5 , Springfield OR 97477-2188. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fabry, Mary Ann Theresa can be contacted via phone (541) 510-2548.

Contact Information

Primary practice address
105 W Q St Ste 5 Springfield OR 97477-2188
Phone: (541) 510-2548
Fax: (541) 741-0522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 01-07-79 Oregon

Profile Details

NPI number 1295107423
LBN Legal business name Fabry, Mary Ann Theresa
Credentials CADCII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2015
Last updated Oct 27th, 2015 - about 11 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.

Request for update

Popular Providers