Fairbanks, Jennifer Lynn

Fairbanks, Jennifer Lynn is an individual health care provider with primary practice located at 1801 19Th Ave Sw , Willmar MN 56201. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fairbanks, Jennifer Lynn can be contacted via phone (320) 235-2020.

Contact Information

Primary practice address
1801 19Th Ave Sw Willmar MN 56201
Phone: (320) 235-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3334 Minnesota

Profile Details

NPI number 1386081065
LBN Legal business name Fairbanks, Jennifer Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2013
Last updated Jun 5th, 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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