Augustine, Nsenga

Augustine, Nsenga is an individual health care provider with primary practice located at 1718 W Colter St Suite 163, Phoenix AZ 85015-2949. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Augustine, Nsenga can be contacted via phone (602) 321-2573.

Contact Information

Primary practice address
1718 W Colter St Suite 163 Phoenix AZ 85015-2949
Phone: (602) 321-2573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X D06709386 Arizona

Profile Details

NPI number 1700123130
LBN Legal business name Augustine, Nsenga
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 13 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 1700123130 NPPES
Arizona MEDICAID 766873

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