Fahnbulleh, Aba

Fahnbulleh, Aba is an individual health care provider with primary practice located at 1001 S George St Fl 2 , York PA 17403. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fahnbulleh, Aba can be contacted via phone (717) 851-2914.

Contact Information

Primary practice address
1001 S George St Fl 2 York PA 17403
Fax: (717) 851-2479
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SPO14415 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP014415 Pennsylvania

Profile Details

NPI number 1477931012
LBN Legal business name Fahnbulleh, Aba
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2015
Last updated Dec 5th, 2018 - about 7 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 1477931012 NPPES
Pennsylvania MEDICAID 103274342
Pennsylvania Other 003566432
Pennsylvania Other 6376004

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