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Contact Information

VAUGHN R FAIRBANKS, DC
414 SOUTH BEECH STREET
MOSES LAKE, WA98837
 Phone: 509-765-9235
 Fax: 509-765-9235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for VAUGHN R FAIRBANKS · (Male)

NPI # 1659593614
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CH00003350
  • WA Other FAIVA0200461618 PREMERA BLUE CROSS
  • WA Other 111104 STATE DLI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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