Ebong, Constance Nzelle

Ebong, Constance Nzelle is an individual health care provider with primary practice located at 1001 S George St , York PA 17403-3676. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Ebong, Constance Nzelle can be contacted via phone (717) 851-2304.

Contact Information

Primary practice address
1001 S George St York PA 17403-3676
Phone: (717) 851-2304
Fax: (717) 851-3374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35.081209 Ohio
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD426497 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD426497 Pennsylvania

Profile Details

NPI number 1962443895
LBN Legal business name Ebong, Constance Nzelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 1st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962443895 NPPES
Ohio MEDICAID 3086299
Ohio Other 537535
Ohio Other 03261100
Ohio Other 2144099
Ohio Other P01006215
Ohio Other 646136-01
Ohio Other 793763000
Ohio Other P00241086
Ohio Other 1737478
Ohio Other 2239500
Ohio MEDICAID 101308236

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