Odiero, Salim Otieno
Odiero, Salim Otieno is an sole proprietor health care provider with primary practice located at 9138 E Dennis St , Mesa AZ 85207-6008. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Odiero, Salim Otieno can be contacted via phone (480) 380-4413.Contact Information
Primary practice address
9138 E Dennis St
Mesa AZ 85207-6008
Phone: (480) 380-4413
Fax: (480) 530-5408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH5615 | Arizona |
Profile Details
| NPI number | 1144836669 |
|---|---|
| LBN Legal business name | Odiero, Salim Otieno |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2020 |
| Last updated | Sep 21st, 2020 - about 6 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 | 1144836669 | NPPES |
| Arizona | MEDICAID | 465372 |
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