Provider Demographics
NPI:1578829784
Name:EMESIH, NKEM
Entity Type:Individual
Prefix:
First Name:NKEM
Middle Name:
Last Name:EMESIH
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 1:10706 ELLISON PLZ
Mailing Address - Street 2:#9
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-1183
Mailing Address - Country:US
Mailing Address - Phone:402-616-7991
Mailing Address - Fax:
Practice Address - Street 1:10706 ELLISON PLZ
Practice Address - Street 2:#9
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1183
Practice Address - Country:US
Practice Address - Phone:402-616-7991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE380101061140606247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other