| Idmann Associates LLC | |
|
5 Lori Ellen Dr Lincoln RI 02865-4912 | |
| (401) 270-5469 | |
| Not Available |
| Full Name | Idmann Associates LLC |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 0547702821 |
|---|---|
| Medicare Enrollment ID | O20240603002840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609658350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Nnamdi O Amaechina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144531518 PECOS PAC ID: 7810123106 Enrollment ID: I20221216001046 |
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