Mekonnen, Tinebeta Daniel

Mekonnen, Tinebeta Daniel is an sole proprietor health care provider with primary practice located at 2762 Mathews St , Berkeley CA 94702-2245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mekonnen, Tinebeta Daniel can be contacted via phone (619) 807-3236.

Contact Information

Primary practice address
2762 Mathews St Berkeley CA 94702-2245
Phone: (619) 807-3236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1720592009
LBN Legal business name Mekonnen, Tinebeta Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2017
Last updated Nov 25th, 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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