Eze, Fidelia

Eze, Fidelia is an individual health care provider with primary practice located at 201 22Nd St , Ashland KY 41101-7803. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Eze, Fidelia can be contacted via phone (606) 324-1141.

Contact Information

Primary practice address
201 22Nd St Ashland KY 41101-7803
Phone: (606) 324-1141
Fax: (606) 325-8606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 165168 Kentucky

Profile Details

NPI number 1205927332
LBN Legal business name Eze, Fidelia
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 31st, 2016 - about 9 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 1205927332 NPPES
Other 000000360824 ANTHEM BCBS
MEDICAID 30610026 ANTHEM BCBS

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