Konyeaso, Annie

Konyeaso, Annie is an sole proprietor health care provider with primary practice located at 462 Court St Apt 2 , Brockton MA 02302-2878. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Konyeaso, Annie can be contacted via phone (857) 719-4921.

Contact Information

Primary practice address
462 Court St Apt 2 Brockton MA 02302-2878
Phone: (857) 719-4921
Fax: (508) 857-3200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1902229727
LBN Legal business name Konyeaso, Annie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2014
Last updated Jan 30th, 2014 - about 11 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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