Favata, Louis Patrick

Favata, Louis Patrick is an individual health care provider with primary practice located at 140 High St. , Springfield MA 01199. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Favata, Louis Patrick can be contacted via phone (413) 794-2511.

Contact Information

Primary practice address
140 High St. Springfield MA 01199
Phone: (413) 794-2511
Fax: (413) 794-2272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1505 Massachusetts

Profile Details

NPI number 1518947159
LBN Legal business name Favata, Louis Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 3rd, 2010 - about 16 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 1518947159 NPPES
Massachusetts Other 1505 LIC

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