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Jacob Fancher

Rehabilitation Counselor

112 Sartin Dr
Edmonton , Kentucky 42129-8170

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Jacob Fancher

Rehabilitation Counselor

112 Sartin Dr
Edmonton , Kentucky 42129-8170

(270) 842-5268

Write a Review Save Call

Jacob Fancher

Rehabilitation Counselor

112 Sartin Dr
Edmonton , Kentucky 42129-8170

(270) 842-5268 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Rehabilitation Counselor

Languages spoken

  • English

Location

112 Sartin Dr Edmonton , Kentucky 42129-8170

First Address

  • Jacob Fancher
  • 380 Suwannee Trail St
  • Bowling Green, KY
  • Zip : 42103-7956
  • Fax : (270) 842-5268
  • Phone : (270) 901-5000

Second Address

  • Jacob Fancher
  • 112 Sartin Dr
  • Edmonton, KY
  • Zip : 42129-8170
  • Fax : (270) 842-5268
  • Phone : (270) 901-5000

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FAQs


Where did Jacob Fancher attend graduate school?

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Where did Jacob Fancher do his residency?

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Where did Jacob Fancher do his fellowship?

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Is Jacob Fancher board certified?

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What type of doctor is Jacob Fancher

Rehabilitation Counselor

In what state does Jacob Fancher practice in?

Kentucky

Where is Jacob Fancher ’s practice located?

112 Sartin Dr , Edmonton, Kentucky, 42129-8170

What is Jacob Fancher ’s gender?

Male

Is Jacob Fancher a sole practitioner?

No

Is Jacob Fancher accepting new patients?

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What languages does Jacob Fancher speak?

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Does Jacob Fancher accept insurance?

Yes, Jacob Fancher accepts insurance

Does Jacob Fancher offers telemedicine?

Jacob Fancher has not indicated if he offers telemedicine

What is Jacob Fancher ’s professional license number?

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What is Jacob Fancher ’s NPI number?

1104461367

Does Jacob Fancher have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225C00000X Rehabilitation Counselor

National Provider Identifier

NPI 1104461367
Provider Name Jacob Fancher
First Address Bowling Green, KY 42103-7956
Second Address Edmonton, KY 42129-8170
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 12/11/2019
Last Update Date 12/11/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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