Adjei, Agatha E
Adjei, Agatha E is an sole proprietor health care provider with primary practice located at 1590 Sw Mullinax Ave , Port Saint Lucie FL 34953-7060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adjei, Agatha E can be contacted via phone (954) 651-4930.Contact Information
Primary practice address
1590 Sw Mullinax Ave
Port Saint Lucie FL 34953-7060
Phone: (954) 651-4930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F11200145 | Florida |
Profile Details
| NPI number | 1568063451 |
|---|---|
| LBN Legal business name | Adjei, Agatha E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2020 |
| Last updated | Nov 5th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568063451 | NPPES |
| Florida | MEDICAID | 06141962 |
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