Fantetti, Michael
Fantetti, Michael is an sole proprietor health care provider with primary practice located at 17551 Generations Dr , South Bend IN 46635-1589. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Fantetti, Michael can be contacted via phone (574) 400-2169.Contact Information
Primary practice address
17551 Generations Dr
South Bend IN 46635-1589
Phone: (574) 400-2169
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-14-15932 | Michigan |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1891169728 |
|---|---|
| LBN Legal business name | Fantetti, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2015 |
| Last updated | Jan 29th, 2024 - about 2 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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