Fazzio Clinic Pc

LBN: Fazzio Clinic Pc
Fazzio Clinic Pc is an health care organization with primary practice located at 7301 W Emerald St Ste 102, Boise ID 83704-8688. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Fazzio Clinic Pc can be contacted via phone (208) 321-8600, or through Fazzio, Frank J via phone (208) 321-8600.

Contact Information

Primary practice address
7301 W Emerald St Ste 102 Boise ID 83704-8688
Phone: (208) 321-8600
Fax: (208) 321-8626
Website:
Map and Directions
Authorized official contact:
Name: Fazzio, Frank J Doctor of Medicine (MD)
Phone: (208) 321-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1194831339
LBN Legal business name Fazzio Clinic Pc
DBA Doing business as
Authorized official Fazzio, Frank J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 30th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194831339 NPPES
Idaho Other 8H914 BLUE CROSS
Idaho Other 1194831339 BLUE CROSS

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