Fabricant, Loic J.
Fabricant, Loic J. is an individual health care provider with primary practice located at 3355 Riverbend Dr Ste 300 , Springfield OR 97477-8800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fabricant, Loic J. can be contacted via phone (541) 868-9303.Contact Information
Primary practice address
3355 Riverbend Dr Ste 300
Springfield OR 97477-8800
Phone: (541) 868-9303
Fax: (541) 868-9306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61183692 | Washington |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD166346 | Oregon |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD61183692 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD166346 | Oregon |
Profile Details
| NPI number | 1790945418 |
|---|---|
| LBN Legal business name | Fabricant, Loic J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2008 |
| Last updated | Aug 31st, 2021 - about 4 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 | 1790945418 | NPPES |
| Oregon | MEDICAID | 500654931 |
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