MEDICARE: DIEUDONNE BIZUMUREMYI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1487400164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIEUDONNE BIZUMUREMYI

Provider Business Mailing Address
First Line	:	5217 NORTHTOWNE BLVD APT D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-4657
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5217 NORTHTOWNE BLVD APT D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-4657
Country	:	US
Telephone Number	:	207-409-3932
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2024
Last Update Date	:	04/24/2024

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Directions to “ DIEUDONNE BIZUMUREMYI ” Practice Location

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