Provider Demographics
NPI:1154521375
Name:EKEH, ALEXANDER KELECHI (RN)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:KELECHI
Last Name:EKEH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1857 W 85TH AVE APT L337
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8497
Mailing Address - Country:US
Mailing Address - Phone:219-805-1093
Mailing Address - Fax:
Practice Address - Street 1:1857 W 85TH AVE APT L337
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8497
Practice Address - Country:US
Practice Address - Phone:219-805-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28163130A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse