Fazio, Daniel
Fazio, Daniel is an individual health care provider with primary practice located at 3000 Colby St Suite 205, Berkeley CA 94705-2083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fazio, Daniel can be contacted via phone (510) 666-0854.Contact Information
Primary practice address
3000 Colby St Suite 205
Berkeley CA 94705-2083
Phone: (510) 666-0854
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A94253 | California |
Profile Details
| NPI number | 1891823340 |
|---|---|
| LBN Legal business name | Fazio, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Apr 13th, 2020 - about 6 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 | 1891823340 | NPPES |
| California | MEDICAID | 1891823340 |
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