Provider Demographics
NPI:1578919809
Name:UWAEZUOKE, BEN-COLLINS
Entity Type:Individual
Prefix:
First Name:BEN-COLLINS
Middle Name:
Last Name:UWAEZUOKE
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 1:230 NORTHLAND BLVD
Mailing Address - Street 2:STE 206
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3675
Mailing Address - Country:US
Mailing Address - Phone:513-432-4327
Mailing Address - Fax:513-322-4705
Practice Address - Street 1:230 NORTHLAND BLVD
Practice Address - Street 2:STE 206
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3675
Practice Address - Country:US
Practice Address - Phone:513-432-4327
Practice Address - Fax:513-322-4705
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide