Fairbanks, Robert Kenneth

Fairbanks, Robert Kenneth is an individual health care provider with primary practice located at 601 S Sherman St , Spokane WA 99202-1311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Fairbanks, Robert Kenneth can be contacted via phone (509) 228-1000.

Contact Information

Primary practice address
601 S Sherman St Spokane WA 99202-1311
Phone: (509) 228-1000
Fax: (509) 252-9300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD00037655 Washington

Profile Details

NPI number 1821084781
LBN Legal business name Fairbanks, Robert Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Mar 27th, 2017 - about 9 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 1821084781 NPPES
Idaho MEDICAID 805949200
Idaho Other 000010032648
Idaho Other 920006292
Idaho Other K0716
Idaho Other 0144615
Idaho Other 3070FA
Idaho Other 5034131
Idaho MEDICAID 8243958

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