Individual
BASHIR AWIL ATEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 WESTOVER CT, MADISON, WI 53719-2201
(608) 504-1891
Mailing address
12 WESTOVER CT, MADISON, WI 53719-2201
(608) 504-1891
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0019236
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
882905822
IRS
—
Enumeration date
02/27/2023
Last updated
02/27/2023
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