Fairbrook Medical Clinic Pa

LBN: Fairbrook Medical Clinic Pa
Fairbrook Medical Clinic Pa is an health care organization with primary practice located at 1985 Startown Rd , Hickory NC 28602-8307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fairbrook Medical Clinic Pa can be contacted via phone (828) 327-4745, or through Kessel, John W via phone (828) 327-4745.

Contact Information

Primary practice address
1985 Startown Rd Hickory NC 28602-8307
Phone: (828) 327-4745
Fax: (828) 327-0841
Website:
Map and Directions
Authorized official contact:
Name: Kessel, John W Doctor of Medicine (MD)
Phone: (828) 327-4745

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36206 North Carolina

Profile Details

NPI number 1093778557
LBN Legal business name Fairbrook Medical Clinic Pa
DBA Doing business as
Authorized official Kessel, John W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated May 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093778557 NPPES
North Carolina MEDICAID 890153K
North Carolina Other CJ5683
North Carolina Other 0153K

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