Agiy, Yelizaveta
Agiy, Yelizaveta is an sole proprietor health care provider with primary practice located at 1883 W Wapoot Dr , Meridian ID 83646-2755. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Agiy, Yelizaveta can be contacted via phone (208) 288-0032.Contact Information
Primary practice address
1883 W Wapoot Dr
Meridian ID 83646-2755
Phone: (208) 288-0032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1538357629 |
|---|---|
| LBN Legal business name | Agiy, Yelizaveta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Oct 24th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538357629 | NPPES |
| Idaho | MEDICAID | 8072589 |
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