Doctor Name: | MR. EVERISTUS BASIL ITIE |
NPI Number: | 1093883712 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 788 Busch Ct Columbus, OH - 432291704 |
Business Phone Number: | 6148483900 |
Business Fax Number: | 6148483901 |
Mailing Address: | 788 Busch Ct, COLUMBUS |
State: | OH |
Postal Code: | 432291704 |
Phone Number: | 6148483900 |
Fax Number: | 6148483901 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251J00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Nursing Care |
Taxonomy Specialization: | |
Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |