Friscia, Marisa

Friscia, Marisa is an individual health care provider with primary practice located at 200 Richmond Ave E Ste 1 , Mattoon IL 61938-4652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Friscia, Marisa can be contacted via phone (217) 234-7000.

Contact Information

Primary practice address
200 Richmond Ave E Ste 1 Mattoon IL 61938-4652
Fax: (217) 234-7011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042.0010507 Vermont
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042-0010507 Vermont
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036147975 Illinois

Profile Details

NPI number 1568657328
LBN Legal business name Friscia, Marisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated Dec 31st, 2018 - about 8 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 1568657328 NPPES
Vermont MEDICAID 1009307

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