Fawcett, Jeffrey

Fawcett, Jeffrey is an individual health care provider with primary practice located at 411 Billingsley Rd Ste 104 , Charlotte NC 28211-1066. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Fawcett, Jeffrey can be contacted via phone (704) 377-7099.

Contact Information

Primary practice address
411 Billingsley Rd Ste 104 Charlotte NC 28211-1066
Phone: (704) 377-7099
Fax: (704) 377-7983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1639591753
LBN Legal business name Fawcett, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2014
Last updated Jan 8th, 2014 - about 12 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 1639591753 NPPES
North Carolina MEDICAID 1891869780

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