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Contact Information

EDWIN FAHEY
6825 DIXIE HWY
CLARKSTON, MI48346
 Phone: 248-625-6820
 Fax: 248-625-6821
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EDWIN FAHEY · (Male)

NPI Number 1235272865
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2007
Last updated 08/09/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5501000708
  • MI Other 650F300730 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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