Idichandy, Mariamma Mathew
Idichandy, Mariamma Mathew is an individual health care provider with primary practice located at 5501 Old York Rd Ste 1 , Philadelphia PA 19141-3098. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Idichandy, Mariamma Mathew can be contacted via phone (215) 456-7890.Contact Information
Primary practice address
5501 Old York Rd Ste 1
Philadelphia PA 19141-3098
Phone: (215) 456-7890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 210460994 | Pennsylvania |
Profile Details
| NPI number | 1659093698 |
|---|---|
| LBN Legal business name | Idichandy, Mariamma Mathew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2022 |
| Last updated | Sep 15th, 2022 - 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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