Mark Fairchild in Vanceburg - Medical

Mark Fairchild - NPI 1255304598

Mark Fairchild is a Medical in Vanceburg, Kentucky. Mark Fairchild practices all healthcare services and medical treatments related to Medical. The NPI Number for Mark Fairchild is 1255304598. The last update date is 2010-06-24.

Mark Fairchild's current location address is Po Box 550, Vanceburg, Kentucky. You can contact this provider via phone number 6067963029 and fax number 6067966221. The mailing address for Mark Fairchild is Po Box 550, Vanceburg, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Fairchild
Address Po Box 550, Vanceburg, Kentucky
Phone Number 6067963029
Fax Number 6067966221
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1255304598
Provider Enumeration Date 2006-02-08
Last Updated Date 2010-06-24

Provider Mailing Address Detail

Address Po Box 550
City Vanceburg
State Kentucky (KY)
Post Code 411790550
Phone Number 6067963029
Fax Number 6067966221

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA434
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
95002721 KY --

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FAQs about Mark Fairchild

What is the unique provider identifier assigned to Mark Fairchild?

The Mark Fairchild has been issued the NPI (National Provider Identifier) 1255304598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Mark Fairchild is located?

The Mark Fairchild is situated at the following address: Po Box 550, Vanceburg, KY, 411790550.

What is Mark Fairchild's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark Fairchild's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1255304598 to Mark Fairchild?

The Mark Fairchild received its 1255304598 assignment from the Centers for Medicare & Medicaid Services on 2006-02-08.

As of what date were the details related to Mark Fairchild most recently updated or revised?

The information pertaining to Mark Fairchild, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-24.

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