Fasano, Michael

Fasano, Michael is an individual health care provider with primary practice located at 703 Rutter Ave , Kingston PA 18704-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fasano, Michael can be contacted via phone (570) 288-7405.

Contact Information

Primary practice address
703 Rutter Ave Kingston PA 18704-4801
Phone: (570) 288-7405
Fax: (570) 288-7406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS022889 Pennsylvania

Profile Details

NPI number 1548827918
LBN Legal business name Fasano, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2019
Last updated Jun 21st, 2024 - about last year

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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