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Contact Information

BETHANY A AGBISIT
3433 W SHAW AVE # 107
FRESNO, CA93711-3229
 Phone: 559-476-2115
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for BETHANY A AGBISIT · (Female)

NPI Number 1679118947
Status Active
Credentials
Entity Individual
Enumeration date 11/11/2019
Last updated 01/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # MPSS-TRDBIY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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