Odiero, Salim Otieno
Odiero, Salim Otieno is an sole proprietor health care provider with primary practice located at 9138 E Dennis St , Mesa AZ 85207-6008. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Odiero, Salim Otieno can be contacted via phone (480) 380-4413.Contact Information
Primary practice address
9138 E Dennis St
Mesa AZ 85207-6008
Phone: (480) 380-4413
Fax: (480) 530-5408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH5615 | Arizona |
Profile Details
| NPI number | 1144836669 |
|---|---|
| LBN Legal business name | Odiero, Salim Otieno |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2020 |
| Last updated | Sep 21st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144836669 | NPPES |
| Arizona | MEDICAID | 465372 |
Popular Providers
-
Hannah, Crisanta T
7151 W Valley Stream Drive , Tucson AZ 85757-1422 -
Jackson, Lashaunda Louise
509 Ne Alberta St , Portland OR 97211-3976 -
Woodard, Senora
2316 Angier Rd , Fuquay Varina NC 27526 -
Hay, Jennifer
555 Fairview Dr , Rochelle IL 61068-2310 -
Gachoki, Jane
11017 E Aspen Ave , Mesa AZ 85208-8638 -
Norris, Ted
7290 W 14Th Ave , Lakewood CO 80214-4725 -
Fanning, Jeanette Marie
2375 Nw Glisan St , Portland OR 97210-3420 -
West, Melissa
921 S Val Vista Dr Unit 26 , Mesa AZ 85204-5610