NATHANAELLE O IBEZIAKO, Student Health BOSTON, MA

Contact Information

NATHANAELLE O IBEZIAKO

145 HARRISON AVE
BOSTON, MA 02111-1802

Phone: 617-636-7000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for NATHANAELLE O IBEZIAKO · (Female)

NPI #	`1669007456`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/11/2020
Last updated	03/11/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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