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Contact Information

FATUMA D KOTILE
3226 HAMLET DR
WOODBURY, MN55125-2709
 Phone: 651-890-6055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for FATUMA D KOTILE · (Female)

NPI # 1164116596
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2023
Last updated 06/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 175599-8
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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