Fasullo, Craig Thomas

Fasullo, Craig Thomas is an individual health care provider with primary practice located at 315 E Center St , Manchester CT 06040-5251. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Fasullo, Craig Thomas can be contacted via phone (860) 533-0179.

Contact Information

Primary practice address
315 E Center St Manchester CT 06040-5251
Phone: (860) 533-0179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 000533 Connecticut

Profile Details

NPI number 1750618864
LBN Legal business name Fasullo, Craig Thomas
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2009
Last updated Oct 11th, 2019 - about 5 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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