Fiallo, Amparito Ivonne
Fiallo, Amparito Ivonne is an individual health care provider with primary practice located at 303 Green St E , Wilson NC 27893-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fiallo, Amparito Ivonne can be contacted via phone (252) 243-9800.Contact Information
Primary practice address
303 Green St E
Wilson NC 27893-4105
Phone: (252) 243-9800
Fax: (252) 243-9888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2007-01690 | North Carolina |
Profile Details
| NPI number | 1073503413 |
|---|---|
| LBN Legal business name | Fiallo, Amparito Ivonne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Oct 26th, 2023 - about 2 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 | 1073503413 | NPPES |
| North Carolina | MEDICAID | 5908271 |
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