Arla Fanning, is a
Speech-language Pathologist based in Callao, Missouri. Arla Fanning is licensed to practice in Missouri (license number 019235) and her current practice location is
403 Pine St, Box A, Callao, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 768-5541.
NPI number for Arla Fanning is 1164562849 and her current mailing address is 1718 Stratford Dr, Macon, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164562849.
Healthcare Provider's Profile
| Full Name | Arla Fanning |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 403 Pine St, Callao, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164562849
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Arla Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164562849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 019235 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Arla Fanning is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Arla Fanning,
1718 Stratford Dr,
Macon, MO 63552-1962
Ph: () - | Arla Fanning,
403 Pine St, Box A,
Callao, MO 63534-0205
Ph: (660) 768-5541 |
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