Ewharekuko, Emona Lashelle

Ewharekuko, Emona Lashelle is an sole proprietor health care provider with primary practice located at 2162 Cherry Ave , Saint Louis MO 63121-5625. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Ewharekuko, Emona Lashelle can be contacted via phone (314) 526-1352.

Contact Information

Primary practice address
2162 Cherry Ave Saint Louis MO 63121-5625
Phone: (314) 526-1352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X S137338040 Missouri

Profile Details

NPI number 1346647906
LBN Legal business name Ewharekuko, Emona Lashelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2014
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346647906 NPPES
Missouri MEDICAID 47-1693183
Missouri MEDICAID 47-1693138
Missouri Other 47-1693183

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