Cancino Ticona, Fabiola Claudia
Cancino Ticona, Fabiola Claudia is an sole proprietor health care provider with primary practice located at 1 Arch Pl , Greenfield MA 01301-2457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Cancino Ticona, Fabiola Claudia can be contacted via phone (413) 774-1000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 245385 | Massachusetts |
Profile Details
| NPI number | 1073841722 |
|---|---|
| LBN Legal business name | Cancino Ticona, Fabiola Claudia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2009 |
| Last updated | Mar 31st, 2017 - 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 | 1073841722 | NPPES |
| Massachusetts | Other | P00887159 | RAILROAD |
| Massachusetts | MEDICAID | 110087716A | RAILROAD |
| Massachusetts | Other | 298878 | RAILROAD |
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