Fazi, Burt
Fazi, Burt is an individual health care provider with primary practice located at 620 Howard Ave Bldg 7-F, Altoona PA 16601-4804. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fazi, Burt can be contacted via phone (814) 946-2328.Contact Information
Primary practice address
620 Howard Ave Bldg 7-F
Altoona PA 16601-4804
Phone: (814) 946-2328
Fax: (814) 946-7724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD030242E | Pennsylvania |
Profile Details
| NPI number | 1679530695 |
|---|---|
| LBN Legal business name | Fazi, Burt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Aug 9th, 2012 - about 14 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 | 1679530695 | NPPES |
| Pennsylvania | MEDICAID | 0012276360001 |
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