Bezza, Degesew Andualem

Bezza, Degesew Andualem is an sole proprietor health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bezza, Degesew Andualem can be contacted via phone (765) 751-5087.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 751-5087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01071042A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01071042A Indiana

Profile Details

NPI number 1487961397
LBN Legal business name Bezza, Degesew Andualem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2010
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487961397 NPPES
Indiana MEDICAID 201067970
Indiana Other 000000766991
Indiana Other P01120499

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