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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457023699 NPPES
Minnesota MEDICAID 87-2951610

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