Tizazu, Etsegenet F.

Tizazu, Etsegenet F. is an individual health care provider with primary practice located at 200 Hygeia Dr Ste 1420 , Newark DE 19713-2049. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Tizazu, Etsegenet F. can be contacted via phone (302) 623-3017.

Contact Information

Primary practice address
200 Hygeia Dr Ste 1420 Newark DE 19713-2049
Phone: (302) 623-3017
Fax: (302) 266-9960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD467286 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C1-0024150 Delaware

Profile Details

NPI number 1922481746
LBN Legal business name Tizazu, Etsegenet F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Mar 30th, 2021 - about 4 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 1922481746 NPPES
Michigan Other 1922481746 ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM

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