Evan Thomas Fairbanks
Community Health Worker in Haverhill, MA. Individual provider (NPI-1).
NPI number1679880504
StatusActive
Last updated in NPPESSep 14, 2010
Details
- NPI
- 1679880504
- Entity type
- Individual (NPI-1)
- Name
- Mr. Evan Thomas Fairbanks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2010
- Last updated
- Sep 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
4 Blaisdell StHaverhill, MA 01832-5425
Phone 978-994-7423
Mailing address
4 Blaisdell StreetHaverhill, MA 01832-5425
Phone 978-994-7423
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Other Community Health Worker providers in Haverhill, MA
- Sheryl CarusoNPI 1548727894
- Melissa Kendra SchottNPI 1396013900
- Julia SullivanNPI 1356102883
- Tricia WhitcombNPI 1730949389
All 5 Community Health Worker providers in Haverhill · All 1,461 providers in Haverhill
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