Andem, Emma Ime
Andem, Emma Ime is an sole proprietor health care provider with primary practice located at 2944 Penn Ave Ste L , Marianna FL 32448-2741. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andem, Emma Ime can be contacted via phone (850) 526-5500.Contact Information
Primary practice address
2944 Penn Ave Ste L
Marianna FL 32448-2741
Phone: (850) 526-5500
Fax: (850) 526-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 11297 | Florida |
Profile Details
| NPI number | 1336496256 |
|---|---|
| LBN Legal business name | Andem, Emma Ime |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2012 |
| Last updated | Feb 20th, 2019 - about 7 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 | 1336496256 | NPPES |
| Florida | MEDICAID | 008993500 |
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