Fairbanks, Mary E

Fairbanks, Mary E is an individual health care provider with primary practice located at 1783 15Th St , Denver CO 80202-1888. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Fairbanks, Mary E can be contacted via phone (303) 532-1536.

Contact Information

Primary practice address
1783 15Th St Denver CO 80202-1888
Phone: (303) 532-1536
Fax: (303) 825-3397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29115 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 29115 Colorado

Profile Details

NPI number 1457360406
LBN Legal business name Fairbanks, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jan 29th, 2019 - about 5 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 1457360406 NPPES
Colorado MEDICAID 01291152

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