Amaechi, Eberegbulam

Amaechi, Eberegbulam is an sole proprietor health care provider with primary practice located at 3132 S Canyon St , Nampa ID 83686-8378. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Amaechi, Eberegbulam can be contacted via phone (208) 440-4411.

Contact Information

Primary practice address
3132 S Canyon St Nampa ID 83686-8378
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1093464919
LBN Legal business name Amaechi, Eberegbulam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2022
Last updated Mar 18th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093464919 NPPES
Idaho MEDICAID A0003766

Popular Providers