Fairbank, Elizabeth Heather

Fairbank, Elizabeth Heather is an individual health care provider with primary practice located at 3786 Central Pike # 130, Hermitage TN 37076-3497. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fairbank, Elizabeth Heather can be contacted via phone (615) 883-2200.

Contact Information

Primary practice address
3786 Central Pike # 130 Hermitage TN 37076-3497
Phone: (615) 883-2200
Fax: (615) 883-1104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 034602 Tennessee

Profile Details

NPI number 1316926876
LBN Legal business name Fairbank, Elizabeth Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316926876 NPPES
Tennessee MEDICAID 3898721

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