Ambomu, Nicolas F

Ambomu, Nicolas F is an sole proprietor health care provider with primary practice located at 1013 Andean Goose Way , Upper Marlboro MD 20774-7129. He recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Ambomu, Nicolas F can be contacted via phone (240) 883-1023.

Contact Information

Primary practice address
1013 Andean Goose Way Upper Marlboro MD 20774-7129
Phone: (240) 883-1023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1881383453
LBN Legal business name Ambomu, Nicolas F
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2023
Last updated Mar 13th, 2024 - about 9 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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