Fairbanks, Chad J
Fairbanks, Chad J is an sole proprietor health care provider with primary practice located at 90 East 200 North , Logan UT 84321-4034. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Fairbanks, Chad J can be contacted via phone (435) 752-0750.Contact Information
Primary practice address
90 East 200 North
Logan UT 84321-4034
Phone: (435) 752-0750
Fax: (435) 752-7433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1518257039 |
|---|---|
| LBN Legal business name | Fairbanks, Chad J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2011 |
| Last updated | Apr 18th, 2011 - 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.
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