Akporoguafe, Brenda Diane

Akporoguafe, Brenda Diane is an individual health care provider with primary practice located at 210 W Jackson St , Ridgeland MS 39157-2312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Akporoguafe, Brenda Diane can be contacted via phone (337) 600-8623.

Contact Information

Primary practice address
210 W Jackson St Ridgeland MS 39157-2312
Phone: (337) 600-8623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1346954211 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1346954211 Mississippi

Profile Details

NPI number 1295417087
LBN Legal business name Akporoguafe, Brenda Diane
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2023
Last updated Aug 2nd, 2023 - about 3 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 1295417087 NPPES
Mississippi Other 1346954211 NPI

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