Ali, Abdifatar H
Ali, Abdifatar H is an individual health care provider with primary practice located at 1434 Marshall St Ne Apt 209 , Minneapolis MN 55413-1076. He recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as his primary health care specialty. Ali, Abdifatar H can be contacted via phone (612) 387-8564.Contact Information
Primary practice address
1434 Marshall St Ne Apt 209
Minneapolis MN 55413-1076
Phone: (612) 387-8564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X |
Profile Details
| NPI number | 1215647771 |
|---|---|
| LBN Legal business name | Ali, Abdifatar H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2022 |
| Last updated | Nov 24th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215647771 | NPPES |
| Minnesota | MEDICAID | 123 |
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