Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NEBIYU JAMAL FANTA
Active Sole ProprietorNEBIYU JAMAL FANTA is a Driver healthcare provider located in SAINT PAUL, Minnesota. NPI 1013498872 is currently active in the NPPES registry. Verify at CMS.
Driver · SAINT PAUL, MN
Registration Details
- NPI Number
- 1013498872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2018 (7.9343217705858 yrs)
- Last Updated
- Aug 28, 2018
- License
-
M153136798609 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
478 UNIVERSITY AVE WSAINT PAUL, MN, 551031935Browse MN providers · Browse ZIP 55103
- Phone
- 2027798511
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in SAINT PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| MR. BILAL M ALSADI | ETC | 1538408265 |
| LEE XIONG | — | 1710302724 |
| SANDOL KHALAF | — | 1841660263 |
| MR. HENRY DAVID AUNG | — | 1972962801 |
| TOU SU TAYLOR KONG | — | 1194270801 |
| AHMED FARAH | — | 1225810351 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.