Fountain, Brandy
Fountain, Brandy is an sole proprietor health care provider with primary practice located at 2823 Lexington Ave N Apt 103, Roseville MN 55113-2086. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fountain, Brandy can be contacted via phone (612) 275-3985.Contact Information
Primary practice address
2823 Lexington Ave N Apt 103
Roseville MN 55113-2086
Phone: (612) 275-3985
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1457809139 |
|---|---|
| LBN Legal business name | Fountain, Brandy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2016 |
| Last updated | Sep 12th, 2016 - about 8 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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