Fanning, Holly Rae

Fanning, Holly Rae is an individual health care provider with primary practice located at 308 12Th Ave S , Buffalo MN 55313-2321. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fanning, Holly Rae can be contacted via phone (763) 682-4400.

Contact Information

Primary practice address
308 12Th Ave S Buffalo MN 55313-2321
Phone: (763) 682-4400
Fax: (763) 682-1353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1235362054
LBN Legal business name Fanning, Holly Rae
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2009
Last updated Aug 27th, 2009 - about 15 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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