Ajavon, Bernice A

Ajavon, Bernice A is an sole proprietor health care provider with primary practice located at 778 Winona Blvd , Rochester NY 14617-2961. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ajavon, Bernice A can be contacted via phone (585) 750-1191.

Contact Information

Primary practice address
778 Winona Blvd Rochester NY 14617-2961
Phone: (585) 750-1191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 128126 New York

Profile Details

NPI number 1972712305
LBN Legal business name Ajavon, Bernice A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1972712305 NPPES
New York MEDICAID 02069221

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