Ezealah, Ezinma
Ezealah, Ezinma is an sole proprietor health care provider with primary practice located at 135 Commonwealth Dr Suite 170, Greenville SC 29615-4831. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Ezealah, Ezinma can be contacted via phone (864) 297-0080.Contact Information
Primary practice address
135 Commonwealth Dr Suite 170
Greenville SC 29615-4831
Phone: (864) 297-0080
Fax: (864) 297-4588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD37517 | South Carolina |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | MD37517 | South Carolina |
Profile Details
| NPI number | 1588866479 |
|---|---|
| LBN Legal business name | Ezealah, Ezinma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2007 |
| Last updated | Jan 21st, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588866479 | NPPES |
| South Carolina | Other | SC45168157 | MEDICARE PTAN |
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