Agafonov, Olexandr

Agafonov, Olexandr is an individual health care provider with primary practice located at 2150 Stockton Blvd , Sacramento CA 95817-1337. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Agafonov, Olexandr can be contacted via phone (916) 875-1000.

Contact Information

Primary practice address
2150 Stockton Blvd Sacramento CA 95817-1337
Phone: (916) 875-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 747031 California

Profile Details

NPI number 1528327426
LBN Legal business name Agafonov, Olexandr
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated May 11th, 2012 - about 14 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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