Healthcare Provider Details

I. General information

NPI: 1356274500
Provider Name (Legal Business Name): BEJUON ANTONIO EMANUEL LPN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 OCEAN DR
DENNIS PORT MA
02639-2213
US

IV. Provider business mailing address

64 OCEAN DR
DENNIS PORT MA
02639-2213
US

V. Phone/Fax

Practice location:
  • Phone: 774-810-8120
  • Fax:
Mailing address:
  • Phone: 774-810-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN1004672
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: