Fazio, Gaetano Thomas
Fazio, Gaetano Thomas is an individual health care provider with primary practice located at 2665 Derr Rd , Springfield OH 45503-2445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fazio, Gaetano Thomas can be contacted via phone (937) 342-9801.Contact Information
Primary practice address
2665 Derr Rd
Springfield OH 45503-2445
Phone: (937) 342-9801
Fax: (937) 342-9804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35025852 | Ohio |
Profile Details
| NPI number | 1639142177 |
|---|---|
| LBN Legal business name | Fazio, Gaetano Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jan 10th, 2014 - about 10 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 | 1639142177 | NPPES |
| Ohio | MEDICAID | 2675654 |
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