National Provider Identifier Database

DALE C FAZIO, DPM – NPI #1194723577
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

DALE C FAZIO, DPM
1914 E 70TH ST
SUITE D
SHREVEPORT, LA71105-5312
Phone: 318-797-3470
Fax: 318-797-9956
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for DALE C FAZIO

NPI Number 1194723577
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/11/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • LA License #: PD009
  • LA Medicaid: 1318451
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DALE C FAZIO, DPM

There are currently no reviews for DALE C FAZIO, DPM


NPIdb - Home
v2.201