Fair, Christine A.

Fair, Christine A. is an sole proprietor health care provider with primary practice located at 2211 River Rd , Maumee OH 43537-3637. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fair, Christine A. can be contacted via phone (419) 740-3052.

Contact Information

Primary practice address
2211 River Rd Maumee OH 43537-3637
Phone: (419) 740-3052
Fax: (419) 893-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-12330 Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3985 Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1197 Hawaii
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7294 Ohio

Profile Details

NPI number 1194906958
LBN Legal business name Fair, Christine A.
Credentials LPC, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2007
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194906958 NPPES
Ohio MEDICAID 0163573

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