Fanning, John Truman
Fanning, John Truman is an sole proprietor health care provider with primary practice located at 4440 Canal Street , New Orleans LA 70119-6021. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fanning, John Truman can be contacted via phone (504) 421-0730.Contact Information
Primary practice address
4440 Canal Street
New Orleans LA 70119-6021
Phone: (504) 421-0730
Fax: (888) 959-6762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 468 | Louisiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 468 | Louisiana |
Profile Details
| NPI number | 1508072216 |
|---|---|
| LBN Legal business name | Fanning, John Truman |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Oct 3rd, 2016 - about 8 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 | 1508072216 | NPPES |
| Louisiana | MEDICAID | 1552836 |
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