Fanelli, Robert D

Fanelli, Robert D is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fanelli, Robert D can be contacted via phone (570) 887-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1699
Phone: (570) 887-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 76110 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X MD447277 Pennsylvania

Profile Details

NPI number 1578551610
LBN Legal business name Fanelli, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Mar 5th, 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 1578551610 NPPES
Massachusetts MEDICAID 3094651

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