National Provider Identifier Database

FAYETTEVILLE STATE UNIVERSITY
Student Health


Contact Information

FAYETTEVILLE STATE UNIVERSITY
1200 MURCHISON ROAD
STUDENT HEALTH SERVICES
FAYETTEVILLE, NC28301-4252
Phone: 910-672-2602
Fax: 910-672-1366
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for FAYETTEVILLE STATE UNIVERSITY

NPI Number 1700439023
Legal business name
LBN
FAYETTEVILLE STATE UNIVERSITY
Authorized official IESCHECIA GRAHAM ALLEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/17/2019
Last updated 11/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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