Fazio, Justin Joseph

Fazio, Justin Joseph is an sole proprietor health care provider with primary practice located at 2805 J Street Suite 100, Sacramento CA 95816. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Fazio, Justin Joseph can be contacted via phone (916) 492-1828.

Contact Information

Primary practice address
2805 J Street Suite 100 Sacramento CA 95816
Phone: (916) 492-1828
Fax: (916) 492-1834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A174428 California

Profile Details

NPI number 1154853083
LBN Legal business name Fazio, Justin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2017
Last updated Sep 27th, 2023 - about 3 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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