Haileselassie, Mulumebet

Haileselassie, Mulumebet is an individual health care provider with primary practice located at 500 W River Dr , Davenport IA 52801-1014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Haileselassie, Mulumebet can be contacted via phone (563) 336-3000.

Contact Information

Primary practice address
500 W River Dr Davenport IA 52801-1014
Fax: (563) 336-3125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27414 Iowa
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-053422 Illinois

Profile Details

NPI number 1912991928
LBN Legal business name Haileselassie, Mulumebet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 29th, 2013 - about 9 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 1912991928 NPPES
Iowa Other 291468 IOWA BC/BS
Iowa Other 421060724 IOWA BC/BS
Iowa Other IA0128 IOWA BC/BS
Iowa Other 1234295 IOWA BC/BS
Iowa Other 8122859 IOWA BC/BS
Iowa MEDICAID 421060724002 IOWA BC/BS
Iowa Other AH1663942 IOWA BC/BS
Iowa MEDICAID 0080200 IOWA BC/BS
Iowa Other 070573 IOWA BC/BS
Iowa Other 42106072428 IOWA BC/BS

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