Isse, Fowsia S

Isse, Fowsia S is an sole proprietor health care provider with primary practice located at 5519 Lyndale Ave N , Minneapolis MN 55430-3216. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Managed Care Organizations / Health Maintenance Organization. Managed Care Organizations / Health Maintenance Organization is her primary health care specialty. Isse, Fowsia S can be contacted via phone (612) 978-7470.

Contact Information

Primary practice address
5519 Lyndale Ave N Minneapolis MN 55430-3216
Phone: (612) 978-7470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1407219645
LBN Legal business name Isse, Fowsia S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2016
Last updated Apr 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407219645 NPPES
Minnesota Other PENDING ADULT FOSTER CARE

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