Ebonka, Festus
Ebonka, Festus is an sole proprietor health care provider with primary practice located at 1721 E Charleston Blvd , Las Vegas NV 89104-1902. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ebonka, Festus can be contacted via phone (702) 515-9680.Contact Information
Primary practice address
1721 E Charleston Blvd
Las Vegas NV 89104-1902
Phone: (702) 515-9680
Fax: (702) 685-9674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN000902 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN000902 | Nevada |
Profile Details
| NPI number | 1932241007 |
|---|---|
| LBN Legal business name | Ebonka, Festus |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Sep 26th, 2017 - about 9 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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