Bayisa, Ebise
Bayisa, Ebise is an sole proprietor health care provider with primary practice located at 12457 Midway Cir Ne , Blaine MN 55449-6228. She recently has only one registered license in Respite Care Facility / Respite Care, Physical Disabilities, Child, which is considered as her primary health care specialty. Bayisa, Ebise can be contacted via phone (612) 423-5057.Contact Information
Primary practice address
12457 Midway Cir Ne
Blaine MN 55449-6228
Phone: (612) 423-5057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X | Minnesota |
Profile Details
| NPI number | 1538745047 |
|---|---|
| LBN Legal business name | Bayisa, Ebise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2021 |
| Last updated | Mar 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538745047 | NPPES |
| Minnesota | MEDICAID | 612653119 |
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