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
Fax: (608) 238-6205
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558482596 NPPES
Wisconsin MEDICAID 35008100

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