Agbonhese, Rachael K

Agbonhese, Rachael K is an sole proprietor health care provider with primary practice located at 1095 Broad Ripple Ave Ste A , Indianapolis IN 46220-2381. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Agbonhese, Rachael K can be contacted via phone (317) 621-3680.

Contact Information

Primary practice address
1095 Broad Ripple Ave Ste A Indianapolis IN 46220-2381
Phone: (317) 621-3680
Fax: (317) 621-3689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01086654A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1760988356
LBN Legal business name Agbonhese, Rachael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2018
Last updated Oct 12th, 2022 - about 3 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 1760988356 NPPES
Indiana Other Q00344277 RAILROAD MEDICARE

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