Provider Demographics
NPI:1144008418
Name:ABEAR, EVERT VITORIO ABIT
Entity type:Individual
Prefix:
First Name:EVERT VITORIO
Middle Name:ABIT
Last Name:ABEAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6578
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931-6578
Mailing Address - Country:US
Mailing Address - Phone:671-646-6956
Mailing Address - Fax:671-647-3551
Practice Address - Street 1:219 S MARINE CORPS DR STE 200
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3927
Practice Address - Country:US
Practice Address - Phone:671-646-6956
Practice Address - Fax:671-647-3551
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach