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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC IDAHOR

Active Sole Proprietor

ERIC IDAHOR is a Licensed Practical Nurse healthcare provider located in STOUGHTON, Massachusetts. NPI 1164035606 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · STOUGHTON, MA

Registration Details

NPI Number
1164035606
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2020 (5.9646962863736 yrs)
Last Updated
Aug 25, 2020
License
LN91073 (MA)
Sole Proprietor
Yes

Practice Information

Address
111 TAMARACK DR
STOUGHTON, MA, 020725013
Browse MA providers · Browse ZIP 02072
Phone
7812231671
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in STOUGHTON, MA

Name Credential NPI
JOANNE IRENE MICHENZIE LPN 1700089323
KENNETH DAVID DIKE LPN 1619358322
MS. DOMINIQUE CHRYSTEL PENN 1871172619
DAPHNE JEAN MICHEL LPN 1619756905
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.