Agan, Tonya C

Agan, Tonya C is an sole proprietor health care provider with primary practice located at 1909 Commerce Ave , Cullman AL 35055-6151. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agan, Tonya C can be contacted via phone (256) 734-4688.

Contact Information

Primary practice address
1909 Commerce Ave Cullman AL 35055-6151
Fax: (256) 736-5638
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1629390737
LBN Legal business name Agan, Tonya C
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2010
Last updated Feb 26th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629390737 NPPES
Alabama MEDICAID 330000025

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