Fanning, Michael

Fanning, Michael is an individual health care provider with primary practice located at 210 W Oak St , Palestine TX 75801-2710. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Driver. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fanning, Michael can be contacted via phone (404) 734-6757.

Contact Information

Primary practice address
210 W Oak St Palestine TX 75801-2710
Phone: (404) 734-6757
Fax: (877) 737-0499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 38300 Texas
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1790184638
LBN Legal business name Fanning, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2014
Last updated Mar 27th, 2020 - about 6 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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