Fairbotham, Lucius

Fairbotham, Lucius is an individual health care provider with primary practice located at 610 S Burdick St , Kalamazoo MI 49007-5221. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fairbotham, Lucius can be contacted via phone (269) 381-3700.

Contact Information

Primary practice address
610 S Burdick St Kalamazoo MI 49007-5221
Phone: (269) 381-3700
Fax: (269) 381-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1497350516
LBN Legal business name Fairbotham, Lucius
Credentials SPECIALIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - about 6 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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