Fabisiak, Danuta

Fabisiak, Danuta is an sole proprietor health care provider with primary practice located at 2110 58Th St W , Bradenton FL 34209-5660. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Fabisiak, Danuta can be contacted via phone (941) 795-7222.

Contact Information

Primary practice address
2110 58Th St W Bradenton FL 34209-5660
Fax: (941) 795-7335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 8474 Florida

Profile Details

NPI number 1790773901
LBN Legal business name Fabisiak, Danuta
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Dec 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790773901 NPPES
Florida MEDICAID 261730700

Popular Providers