Ishengoma, Tom Plivatus

Ishengoma, Tom Plivatus is an sole proprietor health care provider with primary practice located at 19535 N 55Th Dr , Glendale AZ 85308-6805. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Ishengoma, Tom Plivatus can be contacted via phone (614) 966-0671.

Contact Information

Primary practice address
19535 N 55Th Dr Glendale AZ 85308-6805
Phone: (614) 966-0671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1558135574
LBN Legal business name Ishengoma, Tom Plivatus
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2023
Last updated Nov 9th, 2023 - about last year

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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