Fairchild, Mary C

Fairchild, Mary C is an individual health care provider with primary practice located at 5008 Sw Sand Ave , Palm City FL 34990-1395. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fairchild, Mary C can be contacted via phone (561) 748-2889.

Contact Information

Primary practice address
5008 Sw Sand Ave Palm City FL 34990-1395
Phone: (561) 748-2889
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11008611 Florida

Profile Details

NPI number 1336185818
LBN Legal business name Fairchild, Mary C
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 30th, 2024 - about 2 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 1336185818 NPPES
Florida MEDICAID 111704400

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