Provider Demographics
NPI:1649649302
Name:PAUL UCHENDU EZE
Entity type:Organization
Organization Name:PAUL UCHENDU EZE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:U
Authorized Official - Last Name:EZE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-742-7188
Mailing Address - Street 1:5589 MEDINAH DR APT F
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-5301
Mailing Address - Country:US
Mailing Address - Phone:614-742-7188
Mailing Address - Fax:
Practice Address - Street 1:5589 MEDINAH DR APT F
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-5301
Practice Address - Country:US
Practice Address - Phone:614-742-7188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH391448163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty