Boimah, Lilian Watta
Boimah, Lilian Watta is an sole proprietor health care provider with primary practice located at 4023 51St Way S , Fargo ND 58104-6080. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Boimah, Lilian Watta can be contacted via phone (701) 204-8667.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1376216655 |
|---|---|
| LBN Legal business name | Boimah, Lilian Watta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2021 |
| Last updated | Jul 31st, 2021 - about 5 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 | 1376216655 | NPPES |
| North Dakota | MEDICAID | 85-1786436 |
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