Fantauzzi, Sara

Fantauzzi, Sara is an sole proprietor health care provider with primary practice located at Landstuhl Regional Medical Center Unit 33100, Apo AE 09180-3100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fantauzzi, Sara can be contacted via phone (314) 590-6321.

Contact Information

Primary practice address
Landstuhl Regional Medical Center Unit 33100 Apo AE 09180-3100
Phone: (314) 590-6321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA11146 Texas

Profile Details

NPI number 1891125191
LBN Legal business name Fantauzzi, Sara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2013
Last updated Mar 10th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891125191 NPPES
Texas Other 1115247 NATIONAL COMMISSION CERTIFICATION PHY.ASSISTANTS
Texas MEDICAID 3756736-01 NATIONAL COMMISSION CERTIFICATION PHY.ASSISTANTS

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