Fanton, Sheena M

Fanton, Sheena M is an individual health care provider with primary practice located at 2120 Enterprise Dr Suite A, Biloxi MS 39531-4039. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fanton, Sheena M can be contacted via phone (228) 702-0882.

Contact Information

Primary practice address
2120 Enterprise Dr Suite A Biloxi MS 39531-4039
Phone: (228) 702-0882
Fax: (228) 702-0082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4597 Mississippi

Profile Details

NPI number 1396074787
LBN Legal business name Fanton, Sheena M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Dec 14th, 2009 - about 17 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 1396074787 NPPES
Mississippi MEDICAID 09015077
Mississippi Other 1033218524

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