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Contact Information

JENNIFER L FAIRBANKS, O.D
1801 19TH AVE SW
WILLMAR, MN56201
 Phone: 320-235-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JENNIFER L FAIRBANKS · (Female)

NPI Number 1386081065
Status Active
Credentials O.D
Entity Individual
Enumeration date 06/04/2013
Last updated 06/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 3334
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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