Individual provider · NPI-1

Selamawit Abeibie

Internal Medicine · Elyria, OH

NPI number1477042117
StatusActive
Last updated in NPPESAug 24, 2021

Details

NPI
1477042117
Entity type
Individual (NPI-1)
Name
Selamawit Abeibie
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2018
Certification date
Aug 24, 2021
Last updated
Aug 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35.143215OHYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

630 E River St
Elyria, OH 44035-5902

Phone 440-329-7500

Mailing address

630 E River St
Elyria, OH 44035-5902

Phone 440-329-7500

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