Fahnbulleh, Aba
Fahnbulleh, Aba is an individual health care provider with primary practice located at 1001 S George St Fl 2 , York PA 17403. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fahnbulleh, Aba can be contacted via phone (717) 851-2914.Contact Information
Primary practice address
1001 S George St Fl 2
York PA 17403
Phone: (717) 851-2914
Fax: (717) 851-2479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | SPO14415 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP014415 | Pennsylvania |
Profile Details
| NPI number | 1477931012 |
|---|---|
| LBN Legal business name | Fahnbulleh, Aba |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2015 |
| Last updated | Dec 5th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477931012 | NPPES |
| Pennsylvania | MEDICAID | 103274342 | |
| Pennsylvania | Other | 003566432 | |
| Pennsylvania | Other | 6376004 |
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