Constantino, Anne Encarnacion Agraviador
Constantino, Anne Encarnacion Agraviador is an individual health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Constantino, Anne Encarnacion Agraviador can be contacted via phone (301) 877-4540.Contact Information
Primary practice address
6900 N Pecos Rd
North Las Vegas NV 89086-4400
Phone: (301) 877-4540
Fax: (301) 856-3470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD043238 | District of Columbia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D0074007 | Maryland |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 38548 | Kentucky |
Profile Details
| NPI number | 1134197221 |
|---|---|
| LBN Legal business name | Constantino, Anne Encarnacion Agraviador |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 3rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134197221 | NPPES |
| Maryland | MEDICAID | 312507600 | |
| Maryland | Other | 342916ZAPQ |
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