Agenten, Mary

Agenten, Mary is an individual health care provider with primary practice located at 16-204 Melekahiwa Pl Ste 3 , Keaau HI 96749-8010. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Agenten, Mary can be contacted via phone (612) 272-8724.

Contact Information

Primary practice address
16-204 Melekahiwa Pl Ste 3 Keaau HI 96749-8010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1609420793
LBN Legal business name Agenten, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2019
Last updated Jul 28th, 2019 - about 5 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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