Fairchild, Patsy J

Fairchild, Patsy J is an individual health care provider with primary practice located at 221 W Maple Ave , Fayetteville WV 25840-1413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fairchild, Patsy J can be contacted via phone (304) 574-3960.

Contact Information

Primary practice address
221 W Maple Ave Fayetteville WV 25840-1413
Phone: (304) 574-3960
Fax: (304) 574-2179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01218 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 387 West Virginia

Profile Details

NPI number 1649368119
LBN Legal business name Fairchild, Patsy J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Sep 7th, 2011 - about 15 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 1649368119 NPPES
West Virginia Other 01218 LICENSE
West Virginia MEDICAID 3810007348 LICENSE
West Virginia Other 001969193 LICENSE

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