Fallon, Brian
Fallon, Brian is an individual health care provider with primary practice located at 62 Washington Ave , Westwood NJ 07675-2000. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fallon, Brian can be contacted via phone (201) 664-1118.Contact Information
Primary practice address
62 Washington Ave
Westwood NJ 07675-2000
Phone: (201) 664-1118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA01213100 | New Jersey |
Profile Details
| NPI number | 1073695581 |
|---|---|
| LBN Legal business name | Fallon, Brian |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Feb 26th, 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 | 1073695581 | NPPES |
| New Jersey | Other | 109461DBD | MEDICARE |
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