Fant, Joseph Ernest

Fant, Joseph Ernest is an sole proprietor health care provider with primary practice located at 7484 Skyline Dr , San Diego CA 92114-4621. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Fant, Joseph Ernest can be contacted via phone (858) 688-3840.

Contact Information

Primary practice address
7484 Skyline Dr San Diego CA 92114-4621
Phone: (858) 688-3840
Fax: (760) 317-2234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 164209 California

Profile Details

NPI number 1972646008
LBN Legal business name Fant, Joseph Ernest
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jan 15th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972646008 NPPES
California MEDICAID RVN000500

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