Fairchild, Thomas N

Fairchild, Thomas N is an individual health care provider with primary practice located at 820 S Mcclellan St Suite 118, Spokane WA 99204-2457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fairchild, Thomas N can be contacted via phone (509) 747-3147.

Contact Information

Primary practice address
820 S Mcclellan St Suite 118 Spokane WA 99204-2457
Fax: (509) 747-0020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD 00017789 Washington

Profile Details

NPI number 1154439735
LBN Legal business name Fairchild, Thomas N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Apr 19th, 2012 - about 12 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 1154439735 NPPES
Washington MEDICAID 8547101
Washington Other 0151251
Washington Other 340018624

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