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Contact Information

JOHN A MOMOH
7710 BROOKLYN BLVD #109
BROOKLYN PARK, MN55443-2966
 Phone: 763-566-0544
 Fax: 763-566-5577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for JOHN A MOMOH · (Male)

NPI Number 1750565362
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2007
Last updated 12/19/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 97694
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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