Agbonghae, Charles

Agbonghae, Charles is an individual health care provider with primary practice located at 4800 Memorial Dr , Waco TX 76711-1329. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Agbonghae, Charles can be contacted via phone (254) 421-9364.

Contact Information

Primary practice address
4800 Memorial Dr Waco TX 76711-1329
Phone: (254) 421-9364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1203007 Texas

Profile Details

NPI number 1366006728
LBN Legal business name Agbonghae, Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2019
Last updated Apr 30th, 2019 - about 6 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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