Faircloth, John William

Faircloth, John William is an sole proprietor health care provider with primary practice located at 2107 Liberty St , Chesapeake VA 23324-3527. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Faircloth, John William can be contacted via phone (757) 494-7600.

Contact Information

Primary practice address
2107 Liberty St Chesapeake VA 23324-3527
Phone: (757) 494-7600
Fax: (757) 494-7573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202001051 Virginia

Profile Details

NPI number 1346742988
LBN Legal business name Faircloth, John William
Credentials ED.D., SLP-CCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 8 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 1346742988 NPPES
Virginia Other 2202001051 BOARD OF AUDIOLOGY AND SPEECH PATHOLOGY

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