Fannin, Mandy R

Fannin, Mandy R is an individual health care provider with primary practice located at 561 W Trout Run Rd , Ephrata PA 17522-9604. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Fannin, Mandy R can be contacted via phone (717) 733-9090.

Contact Information

Primary practice address
561 W Trout Run Rd Ephrata PA 17522-9604
Phone: (717) 733-9090
Fax: (717) 733-8982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT188133 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD436272 Pennsylvania

Profile Details

NPI number 1972725877
LBN Legal business name Fannin, Mandy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Nov 30th, 2011 - about 13 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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