Fairbank, Matthew K.
Fairbank, Matthew K. is an individual health care provider with primary practice located at 2 Palisades Dr , Albany NY 12205-1438. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fairbank, Matthew K. can be contacted via phone (518) 458-2000.Contact Information
Primary practice address
2 Palisades Dr
Albany NY 12205-1438
Phone: (518) 458-2000
Fax: (518) 458-1524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 007814 | New York |
Profile Details
| NPI number | 1184622516 |
|---|---|
| LBN Legal business name | Fairbank, Matthew K. |
| Credentials | RPA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Aug 29th, 2012 - about 13 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 | 1184622516 | NPPES |
| New York | MEDICAID | 02321204 |
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