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Contact Information

BRENT W FAIRCHILD, PA-C
631 ELMWOOD AVE
ROCHESTER, NY14580
 Phone: 585-275-3365
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRENT W FAIRCHILD · (Male)

NPI Number 1174090393
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/25/2018
Last updated 07/03/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 025179
  • NY License # 25179
Hospital affiliation(s)
  • STRONG MEMORIAL HOSPITAL - (Acute Care)
    601 ELMWOOD AVE
    ROCHESTER, NY 14642
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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