Ibeawuchi, Isidore

Ibeawuchi, Isidore is an individual health care provider with primary practice located at 4080 Garfield St , Wayne MI 48184-1978. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ibeawuchi, Isidore can be contacted via phone (734) 799-2256.

Contact Information

Primary practice address
4080 Garfield St Wayne MI 48184-1978
Phone: (734) 799-2256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1851825368
LBN Legal business name Ibeawuchi, Isidore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2017
Last updated Apr 12th, 2017 - about 8 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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