Dejene, Desta
Dejene, Desta is an sole proprietor health care provider with primary practice located at 2152 Leah Ln , Reynoldsburg OH 43068-3518. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Dejene, Desta can be contacted via phone (614) 599-1567.Contact Information
Primary practice address
2152 Leah Ln
Reynoldsburg OH 43068-3518
Phone: (614) 599-1567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | 3050031 | Ohio |
Profile Details
| NPI number | 1982092706 |
|---|---|
| LBN Legal business name | Dejene, Desta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2014 |
| Last updated | Dec 31st, 2014 - about 11 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 | 1982092706 | NPPES |
| Ohio | MEDICAID | 3050031 |
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