Fossum, Amy

Fossum, Amy is an individual health care provider with primary practice located at 12109 15Th St Nw , Moorhead MN 56560-7205. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Fossum, Amy can be contacted via phone (701) 367-7770.

Contact Information

Primary practice address
12109 15Th St Nw Moorhead MN 56560-7205
Phone: (701) 367-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1356835151
LBN Legal business name Fossum, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2018
Last updated Nov 18th, 2021 - about 4 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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