Fetty, Sara Lauren

Fetty, Sara Lauren is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Fetty, Sara Lauren can be contacted via phone (757) 953-2828.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Phone: (757) 953-2828
Fax: (757) 953-0848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001400 Virginia

Profile Details

NPI number 1184853269
LBN Legal business name Fetty, Sara Lauren
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Oct 22nd, 2019 - about 7 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 1184853269 NPPES
Virginia MEDICAID 1184853269

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