Fantasia, Michele E
Fantasia, Michele E is an individual health care provider with primary practice located at 200 Somerset St , New Brunswick NJ 08901-1942. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Fantasia, Michele E can be contacted via phone (732) 258-7000.Contact Information
Primary practice address
200 Somerset St
New Brunswick NJ 08901-1942
Phone: (732) 258-7000
Fax: (908) 301-5456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 25MA06336800 | New Jersey |
Profile Details
| NPI number | 1447226261 |
|---|---|
| LBN Legal business name | Fantasia, Michele E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Aug 24th, 2010 - about 15 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 | 1447226261 | NPPES |
| New Jersey | Other | 221487148 | DEVON HEALTHCARE |
| New Jersey | Other | 01000313201 | DEVON HEALTHCARE |
| New Jersey | Other | 1096732 | DEVON HEALTHCARE |
| New Jersey | Other | 2119078000 | DEVON HEALTHCARE |
| New Jersey | Other | 221487148 | DEVON HEALTHCARE |
| New Jersey | Other | S51B01 | DEVON HEALTHCARE |
| New Jersey | Other | 0125682 | DEVON HEALTHCARE |
| New Jersey | Other | P2122543 | DEVON HEALTHCARE |
| New Jersey | Other | 2K3684 | DEVON HEALTHCARE |
| New Jersey | Other | 54027 | DEVON HEALTHCARE |
| New Jersey | Other | 221487148 | DEVON HEALTHCARE |
| New Jersey | Other | 2300074 | DEVON HEALTHCARE |
| New Jersey | Other | 24225 | DEVON HEALTHCARE |
| New Jersey | Other | 221487148 | DEVON HEALTHCARE |
| New Jersey | Other | 221487148 | DEVON HEALTHCARE |
| New Jersey | Other | 221487148-016 | DEVON HEALTHCARE |
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