1982998415 NPI number — MRS. FRANCISCA EZEGALU OLALEMI N.P

Table of content: MRS. FRANCISCA EZEGALU OLALEMI N.P (NPI 1982998415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982998415 NPI number — MRS. FRANCISCA EZEGALU OLALEMI N.P

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLALEMI
Provider First Name:
FRANCISCA
Provider Middle Name:
EZEGALU
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
N.P
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
UZOWURU
Provider Other First Name:
FRANCISCA
Provider Other Middle Name:
EZEGALU
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982998415
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2954 E QUINCY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93720-4970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-322-1437
Provider Business Mailing Address Fax Number:
559-322-1437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6769 N FRESNO ST
Provider Second Line Business Practice Location Address:
SUITE #201
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93710-3715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-440-1500
Provider Business Practice Location Address Fax Number:
559-440-1517
Provider Enumeration Date:
06/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  NP 20127 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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