Fazio, Elise Brinson
Fazio, Elise Brinson is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 3630 , Ogden UT 84403-3287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fazio, Elise Brinson can be contacted via phone (801) 387-7900.Contact Information
Primary practice address
4403 Harrison Blvd Ste 3630
Ogden UT 84403-3287
Phone: (801) 387-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11176326-1204 | Utah |
Profile Details
| NPI number | 1710366299 |
|---|---|
| LBN Legal business name | Fazio, Elise Brinson |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2015 |
| Last updated | Nov 14th, 2019 - 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.
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