Fountain, Mimi M
Fountain, Mimi M is an sole proprietor health care provider with primary practice located at 1005 Waterfall Ln , Durango CO 81301-3741. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Fountain, Mimi M can be contacted via phone (970) 759-8872.Contact Information
Primary practice address
1005 Waterfall Ln
Durango CO 81301-3741
Phone: (970) 759-8872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 441885-00 | Illinois |
Profile Details
| NPI number | 1306004965 |
|---|---|
| LBN Legal business name | Fountain, Mimi M |
| Credentials | NCBTMB, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2008 |
| Last updated | May 30th, 2008 - about 17 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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