Fairchild, Donald M

Fairchild, Donald M is an individual health care provider with primary practice located at 300 E Hampden Suite 204 , Englewood CO 80113-2638. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Fairchild, Donald M can be contacted via phone (303) 789-4047.

Contact Information

Primary practice address
300 E Hampden Suite 204 Englewood CO 80113-2638
Phone: (303) 789-4047
Fax: (303) 788-1899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 397 Colorado

Profile Details

NPI number 1578636932
LBN Legal business name Fairchild, Donald M
Credentials TH P
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 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 1578636932 NPPES
Other 2102132 CIGNA
Other 9542 CIGNA
MEDICAID 0710207 CIGNA

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