Fountain, Bryanne E
Fountain, Bryanne E is an individual health care provider with primary practice located at 2500 Hall Avenue Suite A, Marinette WI 54143. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fountain, Bryanne E can be contacted via phone (715) 732-7760.Contact Information
Primary practice address
2500 Hall Avenue Suite A
Marinette WI 54143
Phone: (715) 732-7760
Fax: (715) 732-7711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9013-123 | Wisconsin |
Profile Details
| NPI number | 1326214230 |
|---|---|
| LBN Legal business name | Fountain, Bryanne E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2008 |
| Last updated | Dec 8th, 2021 - about 3 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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