Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB FANCHER
ActiveJACOB FANCHER is a Rehabilitation Counselor healthcare provider located in EDMONTON, Kentucky. NPI 1104461367 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Counselor · EDMONTON, KY
Registration Details
- NPI Number
- 1104461367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2019 (6.7091251409824 yrs)
- Last Updated
- Nov 12, 2019
Practice Information
- Address
-
112 SARTIN DREDMONTON, KY, 421298170Browse KY providers · Browse ZIP 42129
- Phone
- 2709015000
- Fax
- 2708425268
- Primary Specialty
-
Rehabilitation Counselor
225C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.