Mbombow, Ethel

Mbombow, Ethel is an individual health care provider with primary practice located at 21409 Kelly Rd Suite 400, Eastpointe MI 48021-3264. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Internal Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mbombow, Ethel can be contacted via phone (586) 777-0630.

Contact Information

Primary practice address
21409 Kelly Rd Suite 400 Eastpointe MI 48021-3264
Phone: (586) 777-0630
Fax: (586) 777-0631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005700 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1088784 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5601005700 Michigan

Profile Details

NPI number 1801121348
LBN Legal business name Mbombow, Ethel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Jul 29th, 2015 - about 10 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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