Idiagbonya, Philomena

Idiagbonya, Philomena is an individual health care provider with primary practice located at 340 Main St Suite 819, Worcester MA 01608-1604. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Idiagbonya, Philomena can be contacted via phone (508) 752-3969.

Contact Information

Primary practice address
340 Main St Suite 819 Worcester MA 01608-1604
Phone: (508) 752-3969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1679819809
LBN Legal business name Idiagbonya, Philomena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2012
Last updated Dec 15th, 2012 - about 14 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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