Provider Demographics
NPI:1669224267
Name:TEKWE, EPHREM
Entity type:Individual
Prefix:
First Name:EPHREM
Middle Name:
Last Name:TEKWE
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 1:2663 TOWNE BLVD APT 176
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-9587
Mailing Address - Country:US
Mailing Address - Phone:267-244-5759
Mailing Address - Fax:
Practice Address - Street 1:2663 TOWNE BLVD APT 176
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-9587
Practice Address - Country:US
Practice Address - Phone:267-244-5759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty