Mian, Fanta

Mian, Fanta is an sole proprietor health care provider with primary practice located at 25 E Salem St , Hackensack NJ 07601-7427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mian, Fanta can be contacted via phone (973) 534-2734.

Contact Information

Primary practice address
25 E Salem St Hackensack NJ 07601-7427
Phone: (973) 534-2734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01202000 New Jersey

Profile Details

NPI number 1477216224
LBN Legal business name Mian, Fanta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2021
Last updated Jun 2nd, 2022 - about 4 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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