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
Fax: (541) 868-9306
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790945418 NPPES
Oregon MEDICAID 500654931

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