Provider Demographics
NPI:1851436141
Name:UNBEFUDDLED, LLC
Entity Type:Organization
Organization Name:UNBEFUDDLED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-466-3900
Mailing Address - Street 1:8 6TH ST N
Mailing Address - Street 2:101
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-5016
Mailing Address - Country:US
Mailing Address - Phone:208-466-3900
Mailing Address - Fax:208-466-3902
Practice Address - Street 1:8 6TH ST N
Practice Address - Street 2:101
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-5016
Practice Address - Country:US
Practice Address - Phone:208-466-3900
Practice Address - Fax:208-466-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management