Fasciano, James Alfred

Fasciano, James Alfred is an individual health care provider with primary practice located at 3901 Hoyt Ave , Everett WA 98201-4918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fasciano, James Alfred can be contacted via phone (425) 339-5456.

Contact Information

Primary practice address
3901 Hoyt Ave Everett WA 98201-4918
Phone: (425) 339-5456
Fax: (425) 303-3091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12953 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G84986 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60697846 Washington

Profile Details

NPI number 1467427443
LBN Legal business name Fasciano, James Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 10th, 2020 - about 4 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 1467427443 NPPES
California Other G84986 CA STATE LICENSE
California Other 12953 CA STATE LICENSE
California MEDICAID 004716904 CA STATE LICENSE
California MEDICAID 00G849860 CA STATE LICENSE
California MEDICAID 2069525 CA STATE LICENSE

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