Fairchild, Edward

Fairchild, Edward is an individual health care provider with primary practice located at 477 State St Colonial Plaza, Binghamton NY 13901. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Fairchild, Edward can be contacted via phone (607) 348-0343.

Contact Information

Primary practice address
477 State St Colonial Plaza Binghamton NY 13901
Phone: (607) 348-0343
Fax: (607) 348-0347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X CO003702 New York

Profile Details

NPI number 1992718712
LBN Legal business name Fairchild, Edward
Credentials CO, CPED
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1992718712 NPPES
New York MEDICAID 02408313

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