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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013526995 | NPPES |
| Other | IDC | INDEPENDENT DUTY CORPSMAN | |
| Other | 6513548825 | INDEPENDENT DUTY CORPSMAN |
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