Fairbourn, Sharon V
Fairbourn, Sharon V is an individual health care provider with primary practice located at 6410 Old Main Hl , Logan UT 84322-6410. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fairbourn, Sharon V can be contacted via phone (435) 797-9234.Contact Information
Primary practice address
6410 Old Main Hl
Logan UT 84322-6410
Phone: (435) 797-9234
Fax: (844) 308-5865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 10579748-4102 | Utah |
Profile Details
| NPI number | 1356958508 |
|---|---|
| LBN Legal business name | Fairbourn, Sharon V |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2020 |
| Last updated | Sep 30th, 2020 - about 6 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 | 1356958508 | NPPES |
| Utah | Other | 1235374984 | CLINIC NPI |
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