Fairbanks, Jeremiah Douglas

Fairbanks, Jeremiah Douglas is an sole proprietor health care provider with primary practice located at 1880 N Frontage Rd , Hastings MN 55033-2687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fairbanks, Jeremiah Douglas can be contacted via phone (651) 438-1880.

Contact Information

Primary practice address
1880 N Frontage Rd Hastings MN 55033-2687
Phone: (651) 438-1880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 64281 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64281 Minnesota

Profile Details

NPI number 1770016453
LBN Legal business name Fairbanks, Jeremiah Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2017
Last updated Feb 1st, 2024 - about 9 months 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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