Fairbrother, David L

Fairbrother, David L is an individual health care provider with primary practice located at 1018 W H Smith Blvd , Greenville NC 27834-5051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fairbrother, David L can be contacted via phone (252) 689-6333.

Contact Information

Primary practice address
1018 W H Smith Blvd Greenville NC 27834-5051
Phone: (252) 689-6333
Fax: (252) 756-2208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 9801251 North Carolina

Profile Details

NPI number 1710961164
LBN Legal business name Fairbrother, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710961164 NPPES
North Carolina MEDICAID 5901356
North Carolina Other 1396E

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