Agyemang-Boakye, Gilbert
Agyemang-Boakye, Gilbert is an sole proprietor health care provider with primary practice located at 11711 Sand Canyon Rd , Yucaipa CA 92399-1742. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Agyemang-Boakye, Gilbert can be contacted via phone (909) 389-3272.Contact Information
Primary practice address
11711 Sand Canyon Rd
Yucaipa CA 92399-1742
Phone: (909) 389-3272
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95004250 | California |
Profile Details
NPI number | 1407385149 |
---|---|
LBN Legal business name | Agyemang-Boakye, Gilbert |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2017 |
Last updated | Apr 16th, 2024 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407385149 | NPPES |
California | Other | 95004250 | BRN |
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