Fanning, Michael

Fanning, Michael is an sole proprietor health care provider with primary practice located at 207 Compo Rd S , Westport CT 06880-6020. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fanning, Michael can be contacted via phone (617) 515-0282.

Contact Information

Primary practice address
207 Compo Rd S Westport CT 06880-6020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 004923 Connecticut

Profile Details

NPI number 1881260396
LBN Legal business name Fanning, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - about 3 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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