Chidinma Ebele

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

23447 Tailor Shop PL
Clarksburg, MD 20871

Phone

(240) 688-5964

NPI assigned

Jun 6, 2011

Last updated

Dec 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1932493046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23447 TAILOR SHOP PL",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714359",
            "telephone_number": "240-688-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23447 TAILOR SHOP PL",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "20871",
            "telephone_number": "240-688-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELE",
        "first_name": "CHIDINMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.