Fair, Jeffrey Haskell

Fair, Jeffrey Haskell is an individual health care provider with primary practice located at 6411 Fannin St # J1.400 , Houston TX 77030-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Fair, Jeffrey Haskell can be contacted via phone (713) 704-4071.

Contact Information

Primary practice address
6411 Fannin St # J1.400 Houston TX 77030-1501
Phone: (713) 704-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME111974 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 29106 North Carolina
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X R4219 Texas

Profile Details

NPI number 1780606004
LBN Legal business name Fair, Jeffrey Haskell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 9th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780606004 NPPES
Florida MEDICAID 004578500
Florida MEDICAID 8931062

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