Fanta, Deanne
Fanta, Deanne is an sole proprietor health care provider with primary practice located at 6393 Lee Hwy , Chattanooga TN 37421-2569. She recently has only one registered license in Hospitals / Special Hospital, which is considered as her primary health care specialty. Fanta, Deanne can be contacted via phone (423) 822-8304.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Special Hospital | 284300000X | 5804 | Tennessee |
Profile Details
| NPI number | 1528502234 |
|---|---|
| LBN Legal business name | Fanta, Deanne |
| Credentials | Doctor of Veterinary Medicine (DVM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2016 |
| Last updated | Dec 14th, 2016 - about 9 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 | 1528502234 | NPPES |
| Tennessee | Other | 5804 | STATE BOARD OF VET MED |
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