Doctor Name: | MR. EMMANUEL S EKWERE |
NPI Number: | 1013339886 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SP013565 |
Business Practice Address: | 200 Hallmark House Hershey, PA - 170332339 |
Business Phone Number: | 3022521519 |
Business Fax Number: | |
Mailing Address: | 200 Hallmark House, HERSHEY |
State: | PA |
Postal Code: | 170332339 |
Phone Number: | 3022521519 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2014 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP013565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |