Ndebe, Manjerngie Cecelia

Ndebe, Manjerngie Cecelia is an individual health care provider with primary practice located at 451 W. Milham Ave , Portage MI 49024. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ndebe, Manjerngie Cecelia can be contacted via phone (269) 488-9008.

Contact Information

Primary practice address
451 W. Milham Ave Portage MI 49024
Phone: (269) 488-9008
Fax: (269) 488-9001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704241860 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704241860 Michigan

Profile Details

NPI number 1063562585
LBN Legal business name Ndebe, Manjerngie Cecelia
Credentials FNP-C, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 6th, 2017 - about 7 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 1063562585 NPPES
Michigan Other 12016777 BCBSM

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