Gayakpa, Komi Venunye

Gayakpa, Komi Venunye is an sole proprietor health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762-6602. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gayakpa, Komi Venunye can be contacted via phone (651) 354-8825.

Contact Information

Primary practice address
1060 W Perimeter Rd Jb Andrews MD 20762-6602
Phone: (651) 354-8825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1013526995
LBN Legal business name Gayakpa, Komi Venunye
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2020
Last updated Dec 22nd, 2022 - 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 1013526995 NPPES
Other IDC INDEPENDENT DUTY CORPSMAN
Other 6513548825 INDEPENDENT DUTY CORPSMAN

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