Provider Demographics
NPI:1467896290
Name:EBINI, BECHEMANYOR ACHOU (LPN)
Entity Type:Individual
Prefix:
First Name:BECHEMANYOR
Middle Name:ACHOU
Last Name:EBINI
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 SAINT GEORGES WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2297
Mailing Address - Country:US
Mailing Address - Phone:240-533-6152
Mailing Address - Fax:
Practice Address - Street 1:2008 SAINT GEORGES WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2297
Practice Address - Country:US
Practice Address - Phone:240-533-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP48750164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse