Fassari, Maria L
Fassari, Maria L is an individual health care provider with primary practice located at 3400 E Racine St , Janesville WI 53546-2344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fassari, Maria L can be contacted via phone (608) 373-8000.Contact Information
Primary practice address
3400 E Racine St
Janesville WI 53546-2344
Phone: (608) 373-8000
Fax: (608) 373-8514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-116724 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 67628-20 | Wisconsin |
Profile Details
| NPI number | 1295860500 |
|---|---|
| LBN Legal business name | Fassari, Maria L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Nov 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295860500 | NPPES |
| Wisconsin | MEDICAID | 1295860500 |
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