Sufi, Fatima

Sufi, Fatima is an sole proprietor health care provider with primary practice located at 1107 Hazeltine Blvd Ste 484 , Chaska MN 55318-1065. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Agencies / Nursing Care, Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Recovery Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is her primary health care specialty. Sufi, Fatima can be contacted via phone (612) 446-5480.

Contact Information

Primary practice address
1107 Hazeltine Blvd Ste 484 Chaska MN 55318-1065
Phone: (612) 446-5480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 411159 Minnesota
Dental Providers / Dentist 122300000X 411159 Minnesota
Agencies / Nursing Care 251J00000X 411159 Minnesota
Agencies / Foster Care Agency 253J00000X 411159 Minnesota
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 411159 Minnesota
Ambulatory Health Care Facilities / Recovery Care 261QR0800X 411159 Minnesota
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 411159 Minnesota
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 411159 Minnesota

Profile Details

NPI number 1861192353
LBN Legal business name Sufi, Fatima
Credentials SYSTEM ADMINISTRATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2023
Last updated Mar 6th, 2023 - about 3 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 1861192353 NPPES
Minnesota Other 411159 MINNESOTA DEPARTMENT OF HEALTH

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