Provider Demographics
NPI:1245017854
Name:I AM I AM INC
Entity type:Organization
Organization Name:I AM I AM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:877-426-0426
Mailing Address - Street 1:3985 DARBY LN
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-1803
Mailing Address - Country:US
Mailing Address - Phone:877-426-0426
Mailing Address - Fax:
Practice Address - Street 1:3985 DARBY LN
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-1803
Practice Address - Country:US
Practice Address - Phone:877-426-0426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty