Fabrega, Alfredo Jose
Fabrega, Alfredo Jose is an sole proprietor health care provider with primary practice located at 1300 N 12Th St Ste 409 , Phoenix AZ 85006-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fabrega, Alfredo Jose can be contacted via phone (602) 253-2262.Contact Information
Primary practice address
1300 N 12Th St Ste 409
Phoenix AZ 85006-2848
Phone: (602) 253-2262
Fax: (602) 253-7191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25884 | Arizona |
Profile Details
| NPI number | 1548443823 |
|---|---|
| LBN Legal business name | Fabrega, Alfredo Jose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2007 |
| Last updated | Jul 10th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548443823 | NPPES |
| Arizona | MEDICAID | 402834 |
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