Individual
DR. ANTENEH K FISSEHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-4379
(812) 450-3036
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-3036
(812) 450-2193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP61302801
WA
208M00000X
Hospitalist Physician
Primary
02007470A
IN
208M00000X
Hospitalist Physician
OP61302801
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154881175
—
WA
Enumeration date
03/25/2019
Last updated
09/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us