Dr. Jonathan T Fairbank, MD
Healthcare Provider in Burlington, Vermont
1184645814- Practice location
- 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401-1473
- Phone
- 802-847-3592
- Fax
- 802-847-4822
- Last updated
- July 8, 2007
Jonathan T Fairbank is a Healthcare Provider based in Burlington, VT. Jonathan T Fairbank practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Jonathan T Fairbank is 1184645814 and holds a License No. 042-0003761 (VT). The current practice location address for Jonathan T Fairbank is 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-3592 and via fax at 802-847-4822.
Provider Profile Details
- NPI Number
- 1184645814
- Provider Name
- Jonathan T Fairbank
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401-1473
- Phone Number
- 802-847-3592
- Fax Number
- 802-847-4822
- Primary Taxonomy
- Healthcare Provider · 2085N0904X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 21, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Colchester Ave
Dept. Of Radiology
Burlington, VT 05401-1473 - City
- Burlington
- State
- Vermont
- Zip
- 05401-1473
- Phone Number
- 802-847-3592
- Fax Number
- 802-847-4822
Provider Business Mailing Address Details
- Address
- 283 Spear St
Charlotte, VT 05445-9132 - City
- Charlotte
- State
- VT
- Zip
- 05445-9132
- Phone Number
- 802-847-3592
- Fax Number
- 802-847-4822
License Information
- License Number
- 042-0003761
- License State
- VT
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan T Fairbank, MD?
The NPI number of Dr. Jonathan T Fairbank, MD is 1184645814. It was assigned on July 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan T Fairbank, MD?
Dr. Jonathan T Fairbank, MD is registered under the primary taxonomy Healthcare Provider (code 2085N0904X), licensed in VT under license number 042-0003761.
Where does Dr. Jonathan T Fairbank, MD practice?
The practice location is 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401-1473. The office can be reached at 802-847-3592 (phone) or 802-847-4822 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184645814 directly on the NPPES registry website.