National Provider Identifier Database

ESSENTIA INTIMA LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

ESSENTIA INTIMA LLC
600 LANIER AVE W STE 203
FAYETTEVILLE, GA30214-1833
Phone: 909-994-1048
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for ESSENTIA INTIMA LLC

NPI Number 1275356826
Legal business name
LBN
ESSENTIA INTIMA LLC
Authorized official IJEOMA OKWANDU - (CMO)
Entity Organization
Organization subpart No
Enumeration date 11/04/2024
Last updated 11/04/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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