Fairbert, Maria

Fairbert, Maria is an individual health care provider with primary practice located at 900 College Ave. West , Ladysmith WI 54848. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Fairbert, Maria can be contacted via phone (715) 532-5561.

Contact Information

Primary practice address
900 College Ave. West Ladysmith WI 54848
Phone: (715) 532-5561
Fax: (715) 532-9809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1008 Wisconsin

Profile Details

NPI number 1043304744
LBN Legal business name Fairbert, Maria
Credentials P.T. AIDE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1043304744 NPPES
Wisconsin MEDICAID 40436100

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