Fiseha, Redet

Fiseha, Redet is an sole proprietor health care provider with primary practice located at 1801 S 22Nd St , Philadelphia PA 19145-1940. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fiseha, Redet can be contacted via phone (267) 475-7808.

Contact Information

Primary practice address
1801 S 22Nd St Philadelphia PA 19145-1940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1891287009
LBN Legal business name Fiseha, Redet
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2018
Last updated Jun 4th, 2018 - about 6 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 1891287009 NPPES
Other 123456789 NO LICENSE

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