Fairbanks, Jared Jay

Fairbanks, Jared Jay is an individual health care provider with primary practice located at 1605 1St St S , Willmar MN 56201-4234. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fairbanks, Jared Jay can be contacted via phone (320) 235-9060.

Contact Information

Primary practice address
1605 1St St S Willmar MN 56201-4234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3333 Minnesota

Profile Details

NPI number 1881031524
LBN Legal business name Fairbanks, Jared Jay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2013
Last updated Jun 3rd, 2013 - about 11 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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