Idaewor, Remigius
Idaewor, Remigius is an individual health care provider with primary practice located at 110 Eagle Spring Dr Suite C, Stockbridge GA 30281-6488. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide. Nursing Service Providers / Community Health is his primary health care specialty. Idaewor, Remigius can be contacted via phone (678) 480-5315.Contact Information
Primary practice address
110 Eagle Spring Dr Suite C
Stockbridge GA 30281-6488
Phone: (678) 480-5315
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Community Health | 163WC1500X | PHCP009529 | Georgia |
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | PHCP009529 | Georgia |
Nursing Service Related Providers / Home Health Aide | 374U00000X | PHCP009529 | Georgia |
Profile Details
NPI number | 1801349204 |
---|---|
LBN Legal business name | Idaewor, Remigius |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2016 |
Last updated | Aug 2nd, 2016 - about 9 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 | 1801349204 | NPPES |
Georgia | Other | PHCP009529 | GEORGIA DEPARTMENT OF COMMUNITY HEALTH |
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