Fairbanks, Grant Andreas
Fairbanks, Grant Andreas is an individual health care provider with primary practice located at 1151 East 3900 South Suite #B110, Salt Lake City UT 84124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fairbanks, Grant Andreas can be contacted via phone (801) 268-8838.Contact Information
Primary practice address
1151 East 3900 South Suite #B110
Salt Lake City UT 84124
Phone: (801) 268-8838
Fax: (801) 268-8264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 2744901205 | Utah |
Profile Details
| NPI number | 1013056357 |
|---|---|
| LBN Legal business name | Fairbanks, Grant Andreas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Nov 24th, 2015 - about 10 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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