Fairless, Justin Walter
Fairless, Justin Walter is an sole proprietor health care provider with primary practice located at 1651 W Rosedale St , Fort Worth TX 76104-7437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Fairless, Justin Walter can be contacted via phone (817) 257-6633.Contact Information
Primary practice address
1651 W Rosedale St
Fort Worth TX 76104-7437
Phone: (817) 257-6633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | N3638 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | N3638 | Texas |
Profile Details
| NPI number | 1760615496 |
|---|---|
| LBN Legal business name | Fairless, Justin Walter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2009 |
| Last updated | Dec 12th, 2023 - 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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