Provider Demographics
NPI:1669525929
Name:WOMEN CARING FOR WOMEN LLC
Entity type:Organization
Organization Name:WOMEN CARING FOR WOMEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:NKENGE
Authorized Official - Middle Name:AYEOLA
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-333-0540
Mailing Address - Street 1:595 BARTSON RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-8536
Mailing Address - Country:US
Mailing Address - Phone:419-333-0540
Mailing Address - Fax:419-333-0580
Practice Address - Street 1:595 BARTSON RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-8536
Practice Address - Country:US
Practice Address - Phone:419-333-0540
Practice Address - Fax:419-333-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084664207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty