Bokku, Gammachis
Bokku, Gammachis is an sole proprietor health care provider with primary practice located at 736 66Th Ave N , Brooklyn Center MN 55430-1611. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Bokku, Gammachis can be contacted via phone (763) 587-8890.Contact Information
Primary practice address
736 66Th Ave N
Brooklyn Center MN 55430-1611
Phone: (763) 587-8890
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
NPI number | 1457023699 |
---|---|
LBN Legal business name | Bokku, Gammachis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 5th, 2021 |
Last updated | Oct 5th, 2021 - about 3 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 | 1457023699 | NPPES |
Minnesota | MEDICAID | 87-2951610 |
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