Fatz, Casey John
Fatz, Casey John is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 175 , Coeur D Alene ID 83814-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fatz, Casey John can be contacted via phone (208) 625-6309.Contact Information
Primary practice address
700 W Ironwood Dr Ste 175
Coeur D Alene ID 83814-4401
Phone: (208) 625-6309
Fax: (208) 625-6310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-9034 | Idaho |
Profile Details
| NPI number | 1306847488 |
|---|---|
| LBN Legal business name | Fatz, Casey John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Apr 19th, 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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