Terefe-Gifawossen, Ejegayehu
Terefe-Gifawossen, Ejegayehu is an individual health care provider with primary practice located at 3500 S Lafountain St , Kokomo IN 46902-3803. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Terefe-Gifawossen, Ejegayehu can be contacted via phone (765) 865-8630.Contact Information
Primary practice address
3500 S Lafountain St
Kokomo IN 46902-3803
Phone: (765) 865-8630
Fax: (765) 864-5901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01068519 | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01068519 | Indiana |
Profile Details
| NPI number | 1750563623 |
|---|---|
| LBN Legal business name | Terefe-Gifawossen, Ejegayehu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Sep 30th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750563623 | NPPES |
| Indiana | MEDICAID | 200996560 | |
| Indiana | Other | P01270943 | |
| Indiana | Other | P00905153 |
Popular Providers
-
Greer, Gerald Kevin
2401 Columbus Blvd , Kokomo IN 46901-6455 -
Trauring, Ryan T
615 Saint Joseph Dr , Kokomo IN 46901-1890 -
Philip, Leny
3118 S Lafountain St , Kokomo IN 46902-3710 -
Bozard, Melanie Lynn
138 N Dixon Rd , Kokomo IN 46901-4154 -
Kalinowski, Aaron P
3118 S Lafountain St , Kokomo IN 46902-3710 -
Cui, Huan
1907 W Sycamore St , Kokomo IN 46901-5148 -
Bahler, Chris
1907 W Sycamore St Fl 3 , Kokomo IN 46901 -
Ravindra, Baikadi A
3608 S Lafountain St Unit A , Kokomo IN 46902-3809