Fantazzi, Frank C
Fantazzi, Frank C is an individual health care provider with primary practice located at 1532 S Green Bay Rd Ste 200 , Mt Pleasant WI 53406-4410. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fantazzi, Frank C can be contacted via phone (262) 321-0240.Contact Information
Primary practice address
1532 S Green Bay Rd Ste 200
Mt Pleasant WI 53406-4410
Phone: (262) 321-0240
Fax: (262) 321-0242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1770-024 | Wisconsin |
Profile Details
| NPI number | 1154349090 |
|---|---|
| LBN Legal business name | Fantazzi, Frank C |
| Credentials | PT DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1154349090 | NPPES |
| Wisconsin | MEDICAID | 40039400 |
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