Agbonifo, Austin

Agbonifo, Austin is an individual health care provider with primary practice located at 36 Westminster Ct Apt E36 , Roxbury MA 02119-1192. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Agbonifo, Austin can be contacted via phone (857) 498-4939.

Contact Information

Primary practice address
36 Westminster Ct Apt E36 Roxbury MA 02119-1192
Phone: (857) 498-4939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2312537 Massachusetts

Profile Details

NPI number 1750927489
LBN Legal business name Agbonifo, Austin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Jan 29th, 2024 - about 8 months 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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