Ezenwa, Miriam Omelebele
Ezenwa, Miriam Omelebele is an sole proprietor health care provider with primary practice located at 608 Eagle Hts Apt C , Madison WI 53705-1529. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Ezenwa, Miriam Omelebele can be contacted via phone (608) 238-6205.Contact Information
Primary practice address
608 Eagle Hts Apt C
Madison WI 53705-1529
Phone: (608) 238-6205
Fax: (608) 238-6205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Home Health | 163WH0200X | Wisconsin |
Profile Details
NPI number | 1558482596 |
---|---|
LBN Legal business name | Ezenwa, Miriam Omelebele |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2007 |
Last updated | Jul 9th, 2007 - about 17 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 | 1558482596 | NPPES |
Wisconsin | MEDICAID | 35008100 |
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