Fair, Amy L
Fair, Amy L is an individual health care provider with primary practice located at 290 Main St Nw Suite 100, Elk River MN 55330-1270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fair, Amy L can be contacted via phone (763) 241-5805.Contact Information
Primary practice address
290 Main St Nw Suite 100
Elk River MN 55330-1270
Phone: (763) 241-5805
Fax: (763) 241-5835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 46737 | Minnesota |
Profile Details
| NPI number | 1245204346 |
|---|---|
| LBN Legal business name | Fair, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 6th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245204346 | NPPES |
| Minnesota | MEDICAID | 053470600 |
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