Fissiha, Yohannes
Fissiha, Yohannes is an sole proprietor health care provider with primary practice located at 401 Orange Ave , Port Orange FL 32127-4444. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Fissiha, Yohannes can be contacted via phone (386) 767-6268.Contact Information
Primary practice address
401 Orange Ave
Port Orange FL 32127-4444
Phone: (386) 767-6268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL6084 | Florida |
Profile Details
| NPI number | 1295346690 |
|---|---|
| LBN Legal business name | Fissiha, Yohannes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2020 |
| Last updated | Aug 11th, 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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