Fairbanks, Timothy Joseph

Fairbanks, Timothy Joseph is an individual health care provider with primary practice located at 8010 Frost St Ste 414, San Diego CA 92123-2778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Fairbanks, Timothy Joseph can be contacted via phone (858) 966-7711.

Contact Information

Primary practice address
8010 Frost St Ste 414 San Diego CA 92123-2778
Phone: (858) 966-7711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A80244 California
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X A80244 California

Profile Details

NPI number 1407010556
LBN Legal business name Fairbanks, Timothy Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2008
Last updated Dec 8th, 2011 - about 15 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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