Woldemichael, Ghebru W
Woldemichael, Ghebru W is an sole proprietor health care provider with primary practice located at 2851 S Ave B Suite 2601, Yuma AZ 85364-7726. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Woldemichael, Ghebru W can be contacted via phone (928) 317-9562.Contact Information
Primary practice address
2851 S Ave B Suite 2601
Yuma AZ 85364-7726
Phone: (928) 317-9562
Fax: (928) 726-1588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 31647 | Arizona |
Profile Details
| NPI number | 1588729065 |
|---|---|
| LBN Legal business name | Woldemichael, Ghebru W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 1st, 2011 - about 14 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 | 1588729065 | NPPES |
| Arizona | Other | 0004053776 | AETNA |
| Arizona | MEDICAID | 836025 | AETNA |
| Arizona | Other | AZ0735990 | AETNA |
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