Bantau, Jillene Marie
Bantau, Jillene Marie is an individual health care provider with primary practice located at 1806 E Fir Ave Ste 200 , Fergus Falls MN 56537-3921. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bantau, Jillene Marie can be contacted via phone (218) 998-2992.Contact Information
Primary practice address
1806 E Fir Ave Ste 200
Fergus Falls MN 56537-3921
Phone: (218) 998-2992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1225528664 |
|---|---|
| LBN Legal business name | Bantau, Jillene Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2018 |
| Last updated | Aug 11th, 2020 - about 6 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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