Fairbanks, Douglas

Fairbanks, Douglas is an individual health care provider with primary practice located at 3260 Nw Mount Vintage Way , Silverdale WA 98383-6000. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Fairbanks, Douglas can be contacted via phone (360) 698-1685.

Contact Information

Primary practice address
3260 Nw Mount Vintage Way Silverdale WA 98383-6000
Fax: (360) 698-1763
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 845 Washington

Profile Details

NPI number 1316185283
LBN Legal business name Fairbanks, Douglas
Credentials L.D.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Jan 29th, 2009 - about 16 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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