Fairbanks, Zachary C

Fairbanks, Zachary C is an individual health care provider with primary practice located at 800 Wheeling Ave , Glen Dale WV 26038-1660. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fairbanks, Zachary C can be contacted via phone (304) 845-3211.

Contact Information

Primary practice address
800 Wheeling Ave Glen Dale WV 26038-1660
Phone: (304) 845-3211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 815 West Virginia

Profile Details

NPI number 1841840840
LBN Legal business name Fairbanks, Zachary C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2019
Last updated Apr 20th, 2022 - 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.

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