Canonical ID: us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 3103 Calgary Ave Apt 302 Bismarck, ND 58503 | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 | ||||
LegalEntity:country | us | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 | ||||
LegalEntity:description | Medicaid Provider ID: 1490663 | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 | ||||
LegalEntity:id | 8a0b71f4e038ffc4eca3f445bcd5107fc3de3442 | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 | ||||
LegalEntity:name | Atafo, Daniel | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 | ||||
LegalEntity:npiCode | 1932882529 | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 | ||||
LegalEntity:sector | Qualified Service Provider | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 | ||||
LegalEntity:topics | debarment | us_nd_med_exclusions | us-mednd-4254c2f9f889ae0265a210b0d49ee622249f6168 |