Fusco, John A

Fusco, John A is an sole proprietor health care provider with primary practice located at 3700 Van Buren Blvd Ste 102 , Riverside CA 92503-4299. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Fusco, John A can be contacted via phone (951) 688-7700.

Contact Information

Primary practice address
3700 Van Buren Blvd Ste 102 Riverside CA 92503-4299
Phone: (951) 688-7700
Fax: (951) 688-7757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3311 California

Profile Details

NPI number 1770626806
LBN Legal business name Fusco, John A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 9th, 2007 - about 19 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 1770626806 NPPES
California MEDICAID HA0033110

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