Dejenie, Freaw Nigussie
Dejenie, Freaw Nigussie is an individual health care provider with primary practice located at 3900 St Francis Way Ste 213 , Lafayette IN 47905-4938. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Dejenie, Freaw Nigussie can be contacted via phone (765) 775-2800.Contact Information
Primary practice address
3900 St Francis Way Ste 213
Lafayette IN 47905-4938
Phone: (765) 775-2800
Fax: (765) 471-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD038406 | District of Columbia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101246521 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D70682 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD038406 | District of Columbia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01073022A | Indiana |
Profile Details
| NPI number | 1649439050 |
|---|---|
| LBN Legal business name | Dejenie, Freaw Nigussie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | May 3rd, 2023 - 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 | 1649439050 | NPPES |
| Other | 266180L95 | MEDICARE PIN |
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