Mohamed, Idil

Mohamed, Idil is an sole proprietor health care provider with primary practice located at 1425 W Running Brook Rd , Nashville TN 37209-5045. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Mohamed, Idil can be contacted via phone (651) 354-3596.

Contact Information

Primary practice address
1425 W Running Brook Rd Nashville TN 37209-5045
Phone: (651) 354-3596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X I00000003004 Tennessee

Profile Details

NPI number 1326792367
LBN Legal business name Mohamed, Idil
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326792367 NPPES
Tennessee MEDICAID Q071509

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