Hamadou, Bouba

Hamadou, Bouba is an individual health care provider with primary practice located at 2602 W Kimberley St , Tucson AZ 85705-1122. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Hamadou, Bouba can be contacted via phone (520) 551-2742.

Contact Information

Primary practice address
2602 W Kimberley St Tucson AZ 85705-1122
Phone: (520) 551-2742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X B145726633 Arizona

Profile Details

NPI number 1548627698
LBN Legal business name Hamadou, Bouba
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2016
Last updated Jan 20th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548627698 NPPES
Arizona MEDICAID 485511

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