Fonjong, Martin Tanwie

Fonjong, Martin Tanwie is an individual health care provider with primary practice located at 11114 Pompey Dr , Upper Marlboro MD 20772-4859. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Fonjong, Martin Tanwie can be contacted via phone (240) 604-6481.

Contact Information

Primary practice address
11114 Pompey Dr Upper Marlboro MD 20772-4859
Phone: (240) 604-6481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1043984792
LBN Legal business name Fonjong, Martin Tanwie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2021
Last updated Aug 5th, 2021 - about 3 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 1043984792 NPPES
Maryland MEDICAID F525585785427

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