Fachiol, Cosmina I

Fachiol, Cosmina I is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Fachiol, Cosmina I can be contacted via phone (207) 973-7000.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Phone: (207) 973-7000
Fax: (207) 973-5042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD18653 Maine
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD18653 Maine
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD18653 Maine

Profile Details

NPI number 1386761567
LBN Legal business name Fachiol, Cosmina I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jan 17th, 2014 - about 10 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 1386761567 NPPES
Maine MEDICAID 1386761567
Maine MEDICAID 434739399

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