Fidanza, John Francis
Fidanza, John Francis is an individual health care provider with primary practice located at 6351 Main St , Zachary LA 70791-4038. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Fidanza, John Francis can be contacted via phone (225) 306-2000.Contact Information
Primary practice address
6351 Main St
Zachary LA 70791-4038
Phone: (225) 306-2000
Fax: (225) 658-1282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 1040MP | Louisiana |
Profile Details
| NPI number | 1902801392 |
|---|---|
| LBN Legal business name | Fidanza, John Francis |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jul 21st, 2015 - about 9 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 | 1902801392 | NPPES |
| Louisiana | MEDICAID | 2125958 |
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