Fofana, Khadija

Fofana, Khadija is an sole proprietor health care provider with primary practice located at 122 Girard Ave , Somerset NJ 08873-2417. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Fofana, Khadija can be contacted via phone (717) 341-8790.

Contact Information

Primary practice address
122 Girard Ave Somerset NJ 08873-2417
Phone: (717) 341-8790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01045000 New Jersey

Profile Details

NPI number 1407413297
LBN Legal business name Fofana, Khadija
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2019
Last updated Nov 7th, 2022 - about 2 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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