Fombu, Divine
Fombu, Divine is an sole proprietor health care provider with primary practice located at 13817 Briarwood Dr Apt 1123 , Laurel MD 20708-1345. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Fombu, Divine can be contacted via phone (240) 476-3253.Contact Information
Primary practice address
13817 Briarwood Dr Apt 1123
Laurel MD 20708-1345
Phone: (240) 476-3253
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1891051413 |
|---|---|
| LBN Legal business name | Fombu, Divine |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Dec 13th, 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.
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