Koji, Gemado
Koji, Gemado is an individual health care provider with primary practice located at 6511 Humboldt Ave N , Brooklyn Center MN 55430-1860. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Koji, Gemado can be contacted via phone (763) 746-6677.Contact Information
Primary practice address
6511 Humboldt Ave N
Brooklyn Center MN 55430-1860
Phone: (763) 746-6677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1275836066 |
|---|---|
| LBN Legal business name | Koji, Gemado |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2010 |
| Last updated | Dec 16th, 2010 - about 15 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 | 1275836066 | NPPES |
| Minnesota | Other | M543192029312 | DL |
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