National Provider Identifier Database

AMMARA INC
Family


Contact Information

AMMARA, INC.
30410 HIGHWAY 200
PONDERAY, ID83852-9601
Phone: 208-263-1345
Fax: 208-255-5531
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for AMMARA, INC.

NPI Number 1821003708
Legal business name
LBN
AMMARA, INC.
Authorized official KATHY GAVIN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/29/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: NP-257A

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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