Fairchild, Thomas H

Fairchild, Thomas H is an individual health care provider with primary practice located at 5255 East Stop 11 Road Suite 400, Indianapolis IN 46237-6341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fairchild, Thomas H can be contacted via phone (317) 573-4370.

Contact Information

Primary practice address
5255 East Stop 11 Road Suite 400 Indianapolis IN 46237-6341
Phone: (317) 573-4370
Fax: (317) 819-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01029453A Indiana

Profile Details

NPI number 1740347194
LBN Legal business name Fairchild, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 27th, 2013 - about 11 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 1740347194 NPPES
Indiana Other 040008969 MEDICARE RAILROAD
Indiana MEDICAID 100338660 MEDICARE RAILROAD

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