Mohamed, Fardowsa A

Mohamed, Fardowsa A is an individual health care provider with primary practice located at 4041 Central Ave Ne , Columbia Heights MN 55421-2900. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mohamed, Fardowsa A can be contacted via phone (612) 666-0667.

Contact Information

Primary practice address
4041 Central Ave Ne Columbia Heights MN 55421-2900
Phone: (612) 666-0667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1164025466
LBN Legal business name Mohamed, Fardowsa A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2020
Last updated Nov 18th, 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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