Fanning, Mark Allen

Fanning, Mark Allen is an individual health care provider with primary practice located at 408 Glennwood , Glenn Rose TX 76043. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Fanning, Mark Allen can be contacted via phone (254) 897-1445.

Contact Information

Primary practice address
408 Glennwood Glenn Rose TX 76043
Phone: (254) 897-1445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 05-144 Texas

Profile Details

NPI number 1386829281
LBN Legal business name Fanning, Mark Allen
Credentials SA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2008
Last updated Jan 9th, 2008 - about 16 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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