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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | JACKSON NSILULU · Jackson L Nsilulu | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| Description | Provider ID: 0198168, 0106953 | [sources] | |||
| First name | Jackson | [sources] | |||
| Last name | Nsilulu | [sources] | |||
| Middle name | L | [sources] | |||
| NPI | 1750660106 | [sources] | |||
| Sector | 54 - Chemical Dependency, 19 - Managed Care Organization Panel Provider Only | [sources] | |||
| Unique Entity ID | VQXQLUERNLH1 | [sources] | |||
| Position | COUNSELOR (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 125 SCOTT DRIVE 127, ENGLEWOOD, OH 45322 · ENGLEWOOD, OH 45322, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medoh-a5d709eb15ebb76e21b912c0a5038a20afd54e83 · us-medoh-eea71118368f25511cd0ea822e3a44190ea3c111 · us-fed-excl-jackson-nsilulu-45322-englewoodFor experts: raw data explorer
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| United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States of America | Ohio Department of Medicaid | - | - |