Fazen, Louis E

Fazen, Louis E is an individual health care provider with primary practice located at 835 W Central St , Franklin MA 02038-3188. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fazen, Louis E can be contacted via phone (508) 541-8000.

Contact Information

Primary practice address
835 W Central St Franklin MA 02038-3188
Fax: (580) 541-6749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38987 Massachusetts
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 38987 Massachusetts

Profile Details

NPI number 1417980137
LBN Legal business name Fazen, Louis E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417980137 NPPES
Massachusetts MEDICAID 2068044

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