Fairchild, Stefanie Marie

Fairchild, Stefanie Marie is an individual health care provider with primary practice located at 2215 Jordan Ave , Juneau AK 99801-8050. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fairchild, Stefanie Marie can be contacted via phone (907) 500-4888.

Contact Information

Primary practice address
2215 Jordan Ave Juneau AK 99801-8050
Fax: (907) 891-7376
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 517 Alaska

Profile Details

NPI number 1568698686
LBN Legal business name Fairchild, Stefanie Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Apr 14th, 2023 - about 3 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 1568698686 NPPES
Alaska MEDICAID CH0104

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