Akwanga, Edwin
Akwanga, Edwin is an sole proprietor health care provider with primary practice located at 1500 S Second St Ste B , Gallup NM 87301-5898. 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. Akwanga, Edwin can be contacted via phone (505) 420-5111.Contact Information
Primary practice address
1500 S Second St Ste B
Gallup NM 87301-5898
Phone: (505) 420-5111
Fax: (505) 420-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1117773 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 73651 | New Mexico |
Profile Details
| NPI number | 1659061323 |
|---|---|
| LBN Legal business name | Akwanga, Edwin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2023 |
| Last updated | Jun 10th, 2024 - about last year |
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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