Fairfax, Cynthia

Fairfax, Cynthia is an individual health care provider with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Fairfax, Cynthia can be contacted via phone (208) 639-4900.

Contact Information

Primary practice address
2855 E Magic View Dr Meridian ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M-6803 Idaho

Profile Details

NPI number 1417906330
LBN Legal business name Fairfax, Cynthia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 22nd, 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 1417906330 NPPES
Idaho Other 000010157304 BLUE SHIELD MERIDIAN
Idaho Other B5600 BLUE SHIELD MERIDIAN
Idaho Other 000010000852 BLUE SHIELD MERIDIAN
Idaho MEDICAID 2571800 BLUE SHIELD MERIDIAN
Idaho Other 75663 BLUE SHIELD MERIDIAN

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