Moneke, Patrick Anayo

Moneke, Patrick Anayo is an sole proprietor health care provider with primary practice located at 7268 Portillo , Grand Prairie TX 75054-0073. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Moneke, Patrick Anayo can be contacted via phone (817) 366-0950.

Contact Information

Primary practice address
7268 Portillo Grand Prairie TX 75054-0073
Phone: (817) 366-0950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1114416062
LBN Legal business name Moneke, Patrick Anayo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2018
Last updated May 7th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114416062 NPPES
Texas MEDICAID 3589731

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