Fiacco, Regina M.

Fiacco, Regina M. is an individual health care provider with primary practice located at 890 River Rd , Eugene OR 97404-3233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fiacco, Regina M. can be contacted via phone (541) 688-0674.

Contact Information

Primary practice address
890 River Rd Eugene OR 97404-3233
Phone: (541) 688-0674
Fax: (541) 688-5378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004938 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA158680 Oregon

Profile Details

NPI number 1518934751
LBN Legal business name Fiacco, Regina M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Feb 20th, 2017 - about 9 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 1518934751 NPPES
Other 8441628 DSHS
MEDICAID 8441628 DSHS
Other 221417 DSHS

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