Canonical ID: us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 2943 7th St W # 107 West Fargo ND 58078 | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||
LegalEntity:description | Medicaid Provider ID: 1486844 | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||
LegalEntity:id | 7fa44a3e3577ca78e87093d8892aaeaf122d696a | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||
LegalEntity:name | Hussein, Hussein | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||
LegalEntity:npiCode | 1518694504 | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-9466115f798857872e22f71a5c61cb851e8a3e35 | |||