Active NPIIndividual provider

Mr. Evan T Fairbanks

Community Health Worker in Haverhill, Massachusetts

NPI Number1679880504
Practice location
4 Blaisdell St, Haverhill, MA 01832-5425
Fax
—
Last updated
September 14, 2010

Evan Thomas Fairbanks is a Community Health Worker based in Haverhill, MA. Evan Thomas Fairbanks practices in Haverhill, MA. The NPI Number for Evan Thomas Fairbanks is 1679880504. The current practice location address for Evan Thomas Fairbanks is 4 Blaisdell St, Haverhill, MA 01832-5425 and can be reached out via phone at 978-994-7423.

Provider Profile Details

NPI Number
1679880504
Provider Name
Evan Thomas Fairbanks
Provider Entity Type
Individual
Gender
Male
Address
4 Blaisdell St, Haverhill, MA 01832-5425
Phone Number
978-994-7423
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2010
Last Update Date
September 14, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Blaisdell St
Haverhill, MA 01832-5425
Zip
01832-5425
Phone Number
978-994-7423
Haverhill, MA 01832Get directions →

Provider Business Mailing Address Details

Address
4 Blaisdell Street
Haverhill, MA 01832-5425
City
Haverhill
State
MA
Zip
01832-5425
Phone Number
978-994-7423

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Community Health Workers near Haverhill, MA

View all Community Health Workers in Haverhill →

Frequently Asked Questions

What is the NPI number of Mr. Evan T Fairbanks?

The NPI number of Mr. Evan T Fairbanks is 1679880504. It was assigned on September 14, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Evan T Fairbanks?

Mr. Evan T Fairbanks is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Mr. Evan T Fairbanks practice?

The practice location is 4 Blaisdell St, Haverhill, MA 01832-5425. The office can be reached at 978-994-7423 (phone).

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 1679880504 directly on the NPPES registry website.

Browse related providers