Fairbanks, Marcus A
Fairbanks, Marcus A is an individual health care provider with primary practice located at 3628 Meridian St Suite 1B, Bellingham WA 98225-1735. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fairbanks, Marcus A can be contacted via phone (360) 676-9050.Contact Information
Primary practice address
3628 Meridian St Suite 1B
Bellingham WA 98225-1735
Phone: (360) 676-9050
Fax: (360) 676-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5114 | Washington |
Profile Details
| NPI number | 1558300798 |
|---|---|
| LBN Legal business name | Fairbanks, Marcus A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558300798 | NPPES |
| Washington | MEDICAID | 5555008 | |
| Washington | Other | DE00005114 |
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