Eshetea, Bamlak
Eshetea, Bamlak is an sole proprietor health care provider with primary practice located at 3310 Circle Brook Dr Apt B , Roanoke VA 24018-8227. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Eshetea, Bamlak can be contacted via phone (571) 315-2059.Contact Information
Primary practice address
3310 Circle Brook Dr Apt B
Roanoke VA 24018-8227
Phone: (571) 315-2059
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | B65301584 | Virginia |
Profile Details
| NPI number | 1760052567 |
|---|---|
| LBN Legal business name | Eshetea, Bamlak |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2021 |
| Last updated | Jul 24th, 2021 - about 4 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 | 1760052567 | NPPES |
| Virginia | Other | B65301584 | ID |
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