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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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