Fuentes, Lori Ann
Fuentes, Lori Ann is an sole proprietor health care provider with primary practice located at 607 Lincolnway , Valparaiso IN 46383. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fuentes, Lori Ann can be contacted via phone (219) 548-8727.Contact Information
Primary practice address
607 Lincolnway
Valparaiso IN 46383
Phone: (219) 548-8727
Fax: (219) 465-7211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1033304456 |
|---|---|
| LBN Legal business name | Fuentes, Lori Ann |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Aug 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033304456 | NPPES |
| Indiana | MEDICAID | 200275200A |
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