Provider Demographics
NPI:1417553637
Name:LIMBU, BISHESH
Entity Type:Individual
Prefix:
First Name:BISHESH
Middle Name:
Last Name:LIMBU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 23RD ST S APT 205
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-2976
Mailing Address - Country:US
Mailing Address - Phone:701-730-7415
Mailing Address - Fax:
Practice Address - Street 1:1010 23RD ST S APT 205
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2976
Practice Address - Country:US
Practice Address - Phone:701-730-7415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant