Ismail, Fardowsa Mohamud

Ismail, Fardowsa Mohamud is an individual health care provider with primary practice located at 3035 Eagandale Pl # 2103055 , Eagan MN 55121-1261. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ismail, Fardowsa Mohamud can be contacted via phone (612) 259-7715.

Contact Information

Primary practice address
3035 Eagandale Pl # 2103055 Eagan MN 55121-1261
Phone: (612) 259-7715
Fax: (612) 259-7889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1699393371
LBN Legal business name Ismail, Fardowsa Mohamud
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Jul 9th, 2020 - about 5 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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