Fotabong, Gallus Lereh
Fotabong, Gallus Lereh is an individual health care provider with primary practice located at 41 Harvest St , Lynn MA 01902-1122. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Fotabong, Gallus Lereh can be contacted via phone (781) 244-8473.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AG11210066 | Massachusetts |
Profile Details
| NPI number | 1821755513 |
|---|---|
| LBN Legal business name | Fotabong, Gallus Lereh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2021 |
| Last updated | Nov 17th, 2021 - about 5 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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