Defazio, Anthony J
Defazio, Anthony J is an sole proprietor health care provider with primary practice located at 61 Beaver Dr , Du Bois PA 15801-2401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Defazio, Anthony J can be contacted via phone (814) 371-4020.Contact Information
Primary practice address
61 Beaver Dr
Du Bois PA 15801-2401
Phone: (814) 371-4020
Fax: (814) 371-1930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000621 | Pennsylvania |
Profile Details
| NPI number | 1851332019 |
|---|---|
| LBN Legal business name | Defazio, Anthony J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 4th, 2015 - about 11 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 | 1851332019 | NPPES |
| Pennsylvania | Other | 0366780001 | DMERC |
| Pennsylvania | Other | DE53721 | DMERC |
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