Anibuko, Henrietta Chinasa

Anibuko, Henrietta Chinasa is an individual health care provider with primary practice located at 1001 Potrero Ave , San Francisco CA 94110-3518. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anibuko, Henrietta Chinasa can be contacted via phone (628) 206-3364.

Contact Information

Primary practice address
1001 Potrero Ave San Francisco CA 94110-3518
Phone: (628) 206-3364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 95214118 California

Profile Details

NPI number 1871199539
LBN Legal business name Anibuko, Henrietta Chinasa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2020
Last updated Dec 8th, 2020 - about 4 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 1871199539 NPPES
California MEDICAID 59771

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