Fannin, Denise
Fannin, Denise is an sole proprietor health care provider with primary practice located at 1173 County Road 1 Lot 59 , South Point OH 45680-8107. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fannin, Denise can be contacted via phone (740) 479-7030.Contact Information
Primary practice address
1173 County Road 1 Lot 59
South Point OH 45680-8107
Phone: (740) 479-7030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | Ohio |
Profile Details
| NPI number | 1316541071 |
|---|---|
| LBN Legal business name | Fannin, Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2020 |
| Last updated | Nov 24th, 2020 - about 4 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 | 1316541071 | NPPES |
| Ohio | MEDICAID | 3054662 | |
| Ohio | MEDICAID | 1019 | |
| Ohio | MEDICAID | 2771 |
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