Powell, Naimah D.
Powell, Naimah D. is an sole proprietor health care provider with primary practice located at 425 Diamond Drive Suite 105, Lake Elsinore CA 92530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Powell, Naimah D. can be contacted via phone (951) 674-8779.Contact Information
Primary practice address
425 Diamond Drive Suite 105
Lake Elsinore CA 92530
Phone: (951) 674-8779
Fax: (951) 674-1403
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G72993 | California |
Profile Details
NPI number | 1720057623 |
---|---|
LBN Legal business name | Powell, Naimah D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 14th, 2006 |
Last updated | Nov 10th, 2008 - about 17 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 | 1720057623 | NPPES |
California | MEDICAID | G729931 |
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