DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. CHAD J FAIRBANKS

MEDICARE: MR. CHAD J FAIRBANKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1518257039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAD J FAIRBANKS
Provider Business Mailing Address
First Line : 90 E 200 N
Second Line :
City : LOGAN
State : UT
Zip : 84321-4034
Country : US
Telephone Number : 435-752-0750
Fax Number :
Provider Business Practice Location Address
First Line : 90 EAST 200 NORTH
Second Line :
City : LOGAN
State : UT
Zip : 84321-4034
Country : US
Telephone Number : 435-752-0750
Fax Number : 435-752-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2011
Last Update Date : 04/18/2011

Similar Medicare Providers

1154252310 — CHARLOTTE LUCY MATAELE-BRITTAIN
Practice Location Address:
90 E 200 N
LOGAN, UT
84321-4034
Practice Phone: 435-752-0750
Practice Fax:
1134050107 — QUINCEY ANNE COX
Practice Location Address:
90 E 200 N
LOGAN, UT
84321-4034
Practice Phone: 435-752-0750
Practice Fax:
1235069493 — CODY SUE ANDERSON RN
Practice Location Address:
90 E 200 N
LOGAN, UT
84321-4034
Practice Phone: 435-752-0750
Practice Fax:
1649100769 — MR. BRIAN DAVID MCCLELLAN SSW
Practice Location Address:
90 E 200 N
LOGAN, UT
84321-4034
Practice Phone: 435-752-0750
Practice Fax:
1073225306 — KASSI SALAS
Practice Location Address:
90 E 200 N
LOGAN, UT
84321-4034
Practice Phone: 435-752-0750
Practice Fax:
1710815436 — EMMA ALICE TAYLOR
Practice Location Address:
90 E 200 N
LOGAN, UT
84321-4034
Practice Phone: 435-752-0750
Practice Fax:
1316737273 — AUSTIN JOSEPH CLUSTER INTERN
Practice Location Address:
90 E 200 N
LOGAN, UT
84321-4034
Practice Phone: 435-752-0750
Practice Fax:

Directions to “ MR. CHAD J FAIRBANKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.