Fairbanks, Shan R

Fairbanks, Shan R is an individual health care provider with primary practice located at 118 Broad St , Dublin VA 24084-3211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fairbanks, Shan R can be contacted via phone (540) 674-8805.

Contact Information

Primary practice address
118 Broad St Dublin VA 24084-3211
Phone: (540) 674-8805
Fax: (540) 674-8670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102204926 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0102204926 Virginia

Profile Details

NPI number 1003202847
LBN Legal business name Fairbanks, Shan R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Jun 16th, 2021 - about 4 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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