Fairbanks, David

Fairbanks, David is an sole proprietor health care provider with primary practice located at 4390 Heather Cir , Chino CA 91710-5019. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Fairbanks, David can be contacted via phone (909) 203-3184.

Contact Information

Primary practice address
4390 Heather Cir Chino CA 91710-5019
Phone: (909) 203-3184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95040098 California

Profile Details

NPI number 1104752823
LBN Legal business name Fairbanks, David
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2026
Last updated Jun 22nd, 2026 - about 4 months 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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