Fazzio, Frank J
Fazzio, Frank J is an sole proprietor health care provider with primary practice located at 7301 W Emerald St Ste 102, Boise ID 83704-8688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fazzio, Frank J can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M3382 | Idaho |
Profile Details
| NPI number | 1528035276 |
|---|---|
| LBN Legal business name | Fazzio, Frank J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jun 30th, 2010 - 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 | 1528035276 | NPPES |
| Idaho | Other | 1528035276 | NPI |
| Idaho | Other | 020051465 | NPI |
| Idaho | Other | 204186533 | NPI |
| Idaho | Other | 57851 | NPI |
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