Jephte Fanor is a Clinical in Randolph, Massachusetts. Jephte Fanor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jephte Fanor is 1033328893. The last update date is 2007-07-08.
Jephte Fanor's current location address is 66 Collins Ave, Randolph, Massachusetts. You can contact this provider via phone number 7819639301. The mailing address for Jephte Fanor is 66 Collins Ave, Randolph, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jephte Fanor |
|---|---|
| Address | 66 Collins Ave, Randolph, Massachusetts |
| Phone Number | 7819639301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1033328893 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 Collins Ave |
|---|---|
| City | Randolph |
| State | Massachusetts (MA) |
| Post Code | 23682048 |
| Phone Number | 7819639301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1309587 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jephte Fanor by the Centers for Medicare & Medicaid Services?
The Jephte Fanor has been issued the NPI (National Provider Identifier) 1033328893, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jephte Fanor is physically located?
The Jephte Fanor is physically situated at the following address: 66 Collins Ave, Randolph, MA, 23682048.
What is the Jephte Fanor's area of specialization and corresponding taxonomy classification?
The Jephte Fanor's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033328893 to Jephte Fanor?
The Centers for Medicare & Medicaid Services originally issued the 1033328893 to Jephte Fanor on 2007-05-21.
When was the information pertaining to Jephte Fanor most recently updated or revised?
The details related to Jephte Fanor, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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