Agwuna, Ngozi Ruth
Agwuna, Ngozi Ruth is an individual health care provider with primary practice located at 5084 Dorsey Hall Dr Suite 104, Ellicott City MD 21042-7711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Agwuna, Ngozi Ruth can be contacted via phone (410) 772-9463.Contact Information
Primary practice address
5084 Dorsey Hall Dr Suite 104
Ellicott City MD 21042-7711
Phone: (410) 772-9463
Fax: (410) 992-3509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | D0044795 | Maryland |
Profile Details
| NPI number | 1033102348 |
|---|---|
| LBN Legal business name | Agwuna, Ngozi Ruth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Oct 10th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033102348 | NPPES |
| Maryland | MEDICAID | 128051100 | |
| Maryland | Other | 522027939 |
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