Idom, Audrey

Idom, Audrey is an sole proprietor health care provider with primary practice located at 11052 Strayhorn Dr , Dallas TX 75228-2449. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Idom, Audrey can be contacted via phone (972) 698-0226.

Contact Information

Primary practice address
11052 Strayhorn Dr Dallas TX 75228-2449
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1447583448
LBN Legal business name Idom, Audrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2009
Last updated Sep 9th, 2009 - about 16 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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