Fairborn, Chris M

Fairborn, Chris M is an individual health care provider with primary practice located at 601 W Francis Ave , Spokane WA 99205-6427. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fairborn, Chris M can be contacted via phone (509) 326-2772.

Contact Information

Primary practice address
601 W Francis Ave Spokane WA 99205-6427
Fax: (509) 327-1405
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003032 Washington

Profile Details

NPI number 1134103377
LBN Legal business name Fairborn, Chris M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 15th, 2022 - about 4 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 1134103377 NPPES
Washington MEDICAID 2034684
Washington Other 5493150001

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