Provider Demographics
NPI:1225713191
Name:ESSE, HIBAQ HUSSEIN
Entity Type:Individual
Prefix:
First Name:HIBAQ
Middle Name:HUSSEIN
Last Name:ESSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 BROCKHAMPTON LN UNIT 101
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7555
Mailing Address - Country:US
Mailing Address - Phone:425-343-6684
Mailing Address - Fax:
Practice Address - Street 1:546 BROCKHAMPTON LN UNIT 101
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7555
Practice Address - Country:US
Practice Address - Phone:425-343-6684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide