Fasken, Brenden
Fasken, Brenden is an individual health care provider with primary practice located at 710 Peoria St , Peru IL 61354-3351. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fasken, Brenden can be contacted via phone (815) 780-0690.Contact Information
Primary practice address
710 Peoria St
Peru IL 61354-3351
Phone: (815) 780-0690
Fax: (815) 410-1937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1043991961 |
|---|---|
| LBN Legal business name | Fasken, Brenden |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2023 |
| Last updated | Apr 17th, 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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