Fanciullo, Joseph J

Fanciullo, Joseph J is an individual health care provider with primary practice located at 6100 S Louise Ave Ste 1130 , Sioux Falls SD 57108-6021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fanciullo, Joseph J can be contacted via phone (605) 504-1600.

Contact Information

Primary practice address
6100 S Louise Ave Ste 1130 Sioux Falls SD 57108-6021
Phone: (605) 504-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4251 South Dakota

Profile Details

NPI number 1437182516
LBN Legal business name Fanciullo, Joseph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Oct 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437182516 NPPES
South Dakota MEDICAID 6630074
South Dakota Other P00757173
South Dakota Other 660003929
South Dakota MEDICAID 6630073

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