Provider Demographics
NPI:1720887102
Name:ASKEW, EBONY TYREE
Entity type:Individual
Prefix:
First Name:EBONY
Middle Name:TYREE
Last Name:ASKEW
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 CROOKED TREE CIR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-7794
Mailing Address - Country:US
Mailing Address - Phone:859-609-6041
Mailing Address - Fax:859-609-6041
Practice Address - Street 1:3506 CROOKED TREE CIR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-7794
Practice Address - Country:US
Practice Address - Phone:859-609-6041
Practice Address - Fax:859-609-6041
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVN035159374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide