Idmann Associates Llc | |
5 Lori Ellen Dr Lincoln RI 02865-4912 | |
(401) 270-5469 | |
Not Available |
Full Name | Idmann Associates Llc |
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Speciality | Internal Medicine |
Location | 5 Lori Ellen Dr, Lincoln, Rhode Island |
Authorized Official Name and Position | Nnamdi Amaechina (OWNER) |
Authorized Official Contact | 4015753647 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Idmann Associates Llc 5 Lori Ellen Dr Lincoln RI 02865-4912 Ph: (401) 270-5469 | Idmann Associates Llc 5 Lori Ellen Dr Lincoln RI 02865-4912 Ph: (401) 270-5469 |
NPI Number | 1609658350 |
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Provider Enumeration Date | 10/17/2023 |
Last Update Date | 06/05/2024 |
Medicare PECOS PAC ID | 0547702821 |
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Medicare Enrollment ID | O20240603002840 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609658350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nnamdi O Amaechina |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144531518 PECOS PAC ID: 7810123106 Enrollment ID: I20221216001046 |
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