Fasuekoi, Younger
Fasuekoi, Younger is an sole proprietor health care provider with primary practice located at 5190 N 55Th Ave Apt 250 , Glendale AZ 85301-7543. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Fasuekoi, Younger can be contacted via phone (763) 283-7679.Contact Information
Primary practice address
5190 N 55Th Ave Apt 250
Glendale AZ 85301-7543
Phone: (763) 283-7679
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 249313 | Arizona |
Profile Details
| NPI number | 1053901363 |
|---|---|
| LBN Legal business name | Fasuekoi, Younger |
| Credentials | HHA/LNA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2021 |
| Last updated | Jan 20th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053901363 | NPPES |
| Arizona | MEDICAID | 20201227124613 |
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