Fairbanks, Linda Rose

Fairbanks, Linda Rose is an individual health care provider with primary practice located at 100 Woodbury Ave , Portsmouth NH 03801-3206. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fairbanks, Linda Rose can be contacted via phone (603) 812-5300.

Contact Information

Primary practice address
100 Woodbury Ave Portsmouth NH 03801-3206
Fax: (603) 501-0524
Website:

Health care specialties

Profile Details

NPI number 1932215605
LBN Legal business name Fairbanks, Linda Rose
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 12th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932215605 NPPES
New Hampshire Other 13Y004093NH01 ANTHEM
New Hampshire Other 626422 ANTHEM
New Hampshire MEDICAID 30411785 ANTHEM
New Hampshire Other 550954 ANTHEM
New Hampshire Other 2958253 ANTHEM

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