Fairbairn, Scott J

Fairbairn, Scott J is an individual health care provider with primary practice located at 3433 Broadway St Ne Ste 300 , Minneapolis MN 55413-1761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Fairbairn, Scott J can be contacted via phone (763) 587-7737.

Contact Information

Primary practice address
3433 Broadway St Ne Ste 300 Minneapolis MN 55413-1761
Phone: (763) 587-7737
Fax: (763) 587-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 36278 Minnesota

Profile Details

NPI number 1174553747
LBN Legal business name Fairbairn, Scott J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 21st, 2024 - about 2 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 1174553747 NPPES
Minnesota MEDICAID 072563300

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