Fanning, Cynthia A
Fanning, Cynthia A is an individual health care provider with primary practice located at 650 Joel Dr. Behavioral Health, Fort Campbel KY 42223. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fanning, Cynthia A can be contacted via phone (785) 706-3409.Contact Information
Primary practice address
650 Joel Dr. Behavioral Health
Fort Campbel KY 42223
Phone: (785) 706-3409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC11150 | Maine |
Profile Details
| NPI number | 1649398272 |
|---|---|
| LBN Legal business name | Fanning, Cynthia A |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jun 10th, 2020 - about 6 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 | 1649398272 | NPPES |
| Maine | Other | 326450099 | MAINE CARE NUMBER |
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