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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1346647906 | NPPES |
| Missouri | MEDICAID | 47-1693183 | |
| Missouri | MEDICAID | 47-1693138 | |
| Missouri | Other | 47-1693183 |
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