AMY FAZEL


Address: 226 E Calumet St, Appleton, WI 54915
Phone: 9208516647

AMY FAZEL (NPI# 1477082816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477082816
Entity Type Individual
Full Name AMY FAZEL
Practice Address 226 E Calumet St
Appleton
WI 54915
Mailing Address 226 E Calumet St
Appleton
WI 54915-1879
Practice Telephone 9208516647
Enumeration Date 2017-06-08
Last Update Date 2017-06-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver WI Other Service Providers

Office Location

Street Address 226 E CALUMET ST
City APPLETON
State WI
Zip Code 54915

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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

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1164089991 Heidi Catherine Puhl Driver 3484 S 22nd Rd, South Range, WI 54874-8849 2019-05-28
1962066134 Yeng Xiong Driver 200 Mason St Ste 18, Onalaska, WI 54650-7061 2019-04-23
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Competitor

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City APPLETON
Zip Code 54915

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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