Fairchild, Ralph B

Fairchild, Ralph B is an individual health care provider with primary practice located at 2400 Pine Ridge Blvd , Wausau WI 54401-7803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Fairchild, Ralph B can be contacted via phone (715) 847-2022.

Contact Information

Primary practice address
2400 Pine Ridge Blvd Wausau WI 54401-7803
Phone: (715) 847-2022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 51703 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 42511 Wisconsin

Profile Details

NPI number 1285694141
LBN Legal business name Fairchild, Ralph B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 27th, 2023 - about last year

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 1285694141 NPPES
Wisconsin MEDICAID 34003000
Wisconsin Other K400235515

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