Itunga, Agnes
Itunga, Agnes is an sole proprietor health care provider with primary practice located at 920 Century Dr , Mechanicsburg PA 17055-8417. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Itunga, Agnes can be contacted via phone (717) 766-6974.Contact Information
Primary practice address
920 Century Dr
Mechanicsburg PA 17055-8417
Phone: (717) 766-6974
Fax: (717) 766-6975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN304876 | Pennsylvania |
Profile Details
| NPI number | 1104568658 |
|---|---|
| LBN Legal business name | Itunga, Agnes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2022 |
| Last updated | Apr 13th, 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 | 1104568658 | NPPES |
| Pennsylvania | Other | 000642725 | ID |
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