Bezza, Degesew Andualem
Bezza, Degesew Andualem is an sole proprietor health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bezza, Degesew Andualem can be contacted via phone (765) 751-5087.Contact Information
Primary practice address
2401 W University Ave
Muncie IN 47303-3428
Phone: (765) 751-5087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01071042A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01071042A | Indiana |
Profile Details
| NPI number | 1487961397 |
|---|---|
| LBN Legal business name | Bezza, Degesew Andualem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2010 |
| Last updated | Mar 14th, 2024 - about last year |
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 | 1487961397 | NPPES |
| Indiana | MEDICAID | 201067970 | |
| Indiana | Other | 000000766991 | |
| Indiana | Other | P01120499 |
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