Mbeufonjoh, Eli Foryang

Mbeufonjoh, Eli Foryang is an sole proprietor health care provider with primary practice located at 1201 S 7Th Ave , Phoenix AZ 85007-3913. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mbeufonjoh, Eli Foryang can be contacted via phone (602) 416-7600.

Contact Information

Primary practice address
1201 S 7Th Ave Phoenix AZ 85007-3913
Phone: (602) 416-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X R217419 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 256548 Arizona

Profile Details

NPI number 1407460983
LBN Legal business name Mbeufonjoh, Eli Foryang
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2020
Last updated Sep 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407460983 NPPES
Arizona MEDICAID 095691

Popular Providers