Fabricius, Diane Louise
Fabricius, Diane Louise is an individual health care provider with primary practice located at 653 Briarcliff Ave , Oak Ridge TN 37830-8799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fabricius, Diane Louise can be contacted via phone (865) 482-6080.Contact Information
Primary practice address
653 Briarcliff Ave
Oak Ridge TN 37830-8799
Phone: (865) 482-6080
Fax: (865) 482-4070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD0000030687 | Tennessee |
Profile Details
| NPI number | 1578663084 |
|---|---|
| LBN Legal business name | Fabricius, Diane Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1578663084 | NPPES |
| Tennessee | MEDICAID | 3836002 |
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