Bravo-Machado, Ninoska Mercedes
Bravo-Machado, Ninoska Mercedes is an sole proprietor health care provider with primary practice located at 5424 Carolean St , Gainesville GA 30506-3193. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bravo-Machado, Ninoska Mercedes can be contacted via phone (678) 622-3801.Contact Information
Primary practice address
5424 Carolean St
Gainesville GA 30506-3193
Phone: (678) 622-3801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 419900792A | Georgia |
Profile Details
| NPI number | 1972865202 |
|---|---|
| LBN Legal business name | Bravo-Machado, Ninoska Mercedes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Jun 12th, 2012 - about 14 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 | 1972865202 | NPPES |
| Georgia | MEDICAID | 419900792A |
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