Mary E Fairbanks
Family Doctor Family Doctor - Hospice and Palliative Medicine
1783 15th St
Denver
, Colorado 80202-1888
Mary E Fairbanks
Family Doctor Family Doctor - Hospice and Palliative Medicine
1783 15th St
Denver
, Colorado 80202-1888
(303) 825-3397
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Mary E Fairbanks
- 1783 15th St
- Denver, CO
- Zip : 80202-1888
- Fax : (303) 825-3397
- Phone : (303) 532-1536
Second Address
- Mary E Fairbanks
- 1783 15th St
- Denver, CO
- Zip : 80202-1888
- Fax : (303) 825-3397
- Phone : (303) 532-1536
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 29115 | CO |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 29115 | CO |
National Provider Identifier
| NPI | 1457360406 |
|---|---|
| Provider Name | Mary E Fairbanks |
| First Address | Denver, CO 80202-1888 |
| Second Address | Denver, CO 80202-1888 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 29/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01291152 | (05) | CO |
| E54813 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.