Fonkwen, Gideon
Fonkwen, Gideon is an sole proprietor health care provider with primary practice located at 2000 Tower Oaks Blvd , Rockville MD 20852-4282. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Fonkwen, Gideon can be contacted via phone (301) 444-5001.Contact Information
Primary practice address
2000 Tower Oaks Blvd
Rockville MD 20852-4282
Phone: (301) 444-5001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1063195170 |
|---|---|
| LBN Legal business name | Fonkwen, Gideon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2023 |
| Last updated | Jul 3rd, 2024 - about 5 months 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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