Ethan Fahrney, | |
Us Hwy 491 North, Shiprock, NM 87420 | |
(505) 368-6001 | |
Not Available |
Full Name | Ethan Fahrney |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | Us Hwy 491 North, Shiprock, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417517533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | U1-0002030 (Delaware) | Primary |
Provider Name | Dhhs Phs Naihs Shiprock Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Provider Name | Kayenta Alternative Rural Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
Mailing Address | Practice Location Address |
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Ethan Fahrney, Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Ethan Fahrney, Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
David J Reis, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502 | |
Miss Robyn Alyce Nelson, O.T.R. L Occupational Therapist Medicare: Medicare Enrolled Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502 | |
Rosette Mitexi Stabler, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Mrs. Jennifer Michelle Manning, OTR/L, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 Phone: 505-368-7089 Fax: 505-368-7091 | |
Sharraine Williams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502 | |
Danielle R Atencio-archibeque, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5520 |