ELIZABETH KUMBONG AMAAZEE NPI 1548978372

NPI Information

NPI: 1548978372
Provider Name: ELIZABETH KUMBONG AMAAZEE
Classification: Clinic/Center - 261QH0100X
Entity Type: Individual

Specialization: Health Service

Address:
88 RIDGE DR APT 204
FAIRFIELD, OH
ZIP 45014
Phone: (513) 612-0582
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Elizabeth Kumbong Amaazee is a health service clinic center in Fairfield, OH. Elizabeth Kumbong Amaazee NPI is 1548978372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

88 RIDGE DR APT 204
FAIRFIELD, OH
ZIP 45014-112
Phone: (513) 612-0582

The enumeration date for this NPI number is 11/10/2022 and was last updated on 11/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	77274123	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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