Fassnacht, Sam M
Fassnacht, Sam M is an sole proprietor health care provider with primary practice located at 130 Medford Ave , Patchogue NY 11772-1206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fassnacht, Sam M can be contacted via phone (631) 475-5734.Contact Information
Primary practice address
130 Medford Ave
Patchogue NY 11772-1206
Phone: (631) 475-5734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1558670463 |
|---|---|
| LBN Legal business name | Fassnacht, Sam M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2010 |
| Last updated | Dec 28th, 2016 - about 10 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.
Popular Providers
-
Alex, Michael
101 Hospital Rd , Patchogue NY 11772-4870 -
Kim, Diane
101 Hospital Rd , Patchogue NY 11772-4870 -
Hallowell, Margaret Nolan
100 Hospital Road , Patchogue NY 11772 -
Pope-Morris, Annette
101 Hospital Rd , Patchogue NY 11772-4870 -
Lange, Naomi
117 Jayne Ave , Patchogue NY 11772-2834 -
Spinnato, Joann T
101 Gillette Ave , Patchogue NY 11772-2514 -
Parmar, Amrita Kaur
73 S Ocean Ave , Patchogue NY 11772-3702 -
Westendorf, Elizabeth Anne
130 Medford Ave , Patchogue NY 11772-1206