Provider Demographics
NPI:1043873797
Name:EBINI, MARCEL EBINI
Entity Type:Individual
Prefix:MR
First Name:MARCEL
Middle Name:EBINI
Last Name:EBINI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9639 MUIRKIRK RD APT C174
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2616
Mailing Address - Country:US
Mailing Address - Phone:302-275-3012
Mailing Address - Fax:
Practice Address - Street 1:9639 MUIRKIRK RD APT C174
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2616
Practice Address - Country:US
Practice Address - Phone:302-275-3012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health