Agbonavbare, Edwin Japheth
Agbonavbare, Edwin Japheth is an sole proprietor health care provider with primary practice located at 100 Corporate Pl Ste 303 , Peabody MA 01960-3809. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Agbonavbare, Edwin Japheth can be contacted via phone (781) 640-1791.Contact Information
Primary practice address
100 Corporate Pl Ste 303
Peabody MA 01960-3809
Phone: (781) 640-1791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 406565 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2277840 | Massachusetts |
Profile Details
| NPI number | 1386007631 |
|---|---|
| LBN Legal business name | Agbonavbare, Edwin Japheth |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2016 |
| Last updated | Dec 10th, 2024 - 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.
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