Imonah, Charlie

Imonah, Charlie is an individual health care provider with primary practice located at 39 East Ave , Pawtucket RI 02860-4003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Imonah, Charlie can be contacted via phone (401) 722-0081.

Contact Information

Primary practice address
39 East Ave Pawtucket RI 02860-4003
Phone: (401) 722-0081
Fax: (401) 312-0318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP37898 Rhode Island

Profile Details

NPI number 1659770642
LBN Legal business name Imonah, Charlie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2014
Last updated Dec 6th, 2014 - about 12 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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