Amare, Kidist

Amare, Kidist is an individual health care provider with primary practice located at 5021 Seminary Rd Apt 603 , Alexandria VA 22311-1930. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Amare, Kidist can be contacted via phone (571) 244-7014.

Contact Information

Primary practice address
5021 Seminary Rd Apt 603 Alexandria VA 22311-1930
Phone: (571) 244-7014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Virginia

Profile Details

NPI number 1194388645
LBN Legal business name Amare, Kidist
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2019
Last updated Apr 19th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194388645 NPPES
Virginia MEDICAID 3747P1801X

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