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Jeremiah Douglas Fairbanks

Family Doctor Family Doctor - Addiction Medicine

1880 N Frontage Rd
Hastings , Minnesota 55033-2687

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Image

Jeremiah Douglas Fairbanks

Family Doctor Family Doctor - Addiction Medicine

1880 N Frontage Rd
Hastings , Minnesota 55033-2687

(651) 438-1800

Write a Review Save Call

Jeremiah Douglas Fairbanks

Family Doctor Family Doctor - Addiction Medicine

1880 N Frontage Rd
Hastings , Minnesota 55033-2687

(651) 438-1800 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Addiction Medicine

Languages spoken

  • English

Location

1880 N Frontage Rd Hastings , Minnesota 55033-2687

First Address

  • Jeremiah Douglas Fairbanks
  • 1880 N Frontage Rd
  • Hastings, MN
  • Zip : 55033-2687
  • Phone : (651) 438-1800

Second Address

  • Jeremiah Douglas Fairbanks
  • 1880 N Frontage Rd
  • Hastings, MN
  • Zip : 55033-2687
  • Phone : (651) 438-1880

Reviews

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FAQs


Where did Jeremiah Douglas Fairbanks attend graduate school?

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Where did Jeremiah Douglas Fairbanks do his residency?

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Where did Jeremiah Douglas Fairbanks do his fellowship?

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Is Jeremiah Douglas Fairbanks board certified?

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What type of doctor is Jeremiah Douglas Fairbanks

Family Doctor

In what state does Jeremiah Douglas Fairbanks practice in?

Minnesota

Where is Jeremiah Douglas Fairbanks ’s practice located?

1880 N Frontage Rd , Hastings, Minnesota, 55033-2687

What is Jeremiah Douglas Fairbanks ’s gender?

Male

Is Jeremiah Douglas Fairbanks a sole practitioner?

No

Is Jeremiah Douglas Fairbanks accepting new patients?

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What languages does Jeremiah Douglas Fairbanks speak?

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Does Jeremiah Douglas Fairbanks accept insurance?

Yes, Jeremiah Douglas Fairbanks accepts insurance

Does Jeremiah Douglas Fairbanks offers telemedicine?

Jeremiah Douglas Fairbanks has not indicated if he offers telemedicine

What is Jeremiah Douglas Fairbanks ’s professional license number?

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What is Jeremiah Douglas Fairbanks ’s NPI number?

1770016453

Does Jeremiah Douglas Fairbanks have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor 64281 MN
N 207QA0401X Family Doctor - Addiction Medicine 64281 MN

National Provider Identifier

NPI 1770016453
Provider Name Jeremiah Douglas Fairbanks
First Address Hastings, MN 55033-2687
Second Address Hastings, MN 55033-2687
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 09/04/2017
Last Update Date 25/01/2022

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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