Fatula, Daniel Remo

Fatula, Daniel Remo is an individual health care provider with primary practice located at 635 S Brady St , Du Bois PA 15801-1202. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fatula, Daniel Remo can be contacted via phone (814) 503-4100.

Contact Information

Primary practice address
635 S Brady St Du Bois PA 15801-1202
Phone: (814) 503-4100
Fax: (814) 503-4157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001789 Pennsylvania

Profile Details

NPI number 1710092499
LBN Legal business name Fatula, Daniel Remo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated May 7th, 2024 - about 2 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 1710092499 NPPES
Pennsylvania MEDICAID 1024126310002

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