Individual
MR. CHRISTIAN ARTHUR FANJOY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
809 WICK AVE, ASHLAND, OH 44805-1509
(419) 496-1385
Mailing address
809 WICK AVE, ASHLAND, OH 44805-1509
(419) 496-1385
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
400694061207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2788916
—
OH
Enumeration date
04/01/2008
Last updated
04/01/2008
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