Amaechi, Octavia

Amaechi, Octavia is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Amaechi, Octavia can be contacted via phone (864) 560-6193.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6193
Fax: (864) 560-1510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL33941 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33941 South Carolina

Profile Details

NPI number 1952699696
LBN Legal business name Amaechi, Octavia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2011
Last updated Nov 17th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952699696 NPPES
South Carolina Other SC40915019 MEDICARE PIN
South Carolina Other SC40919068 MEDICARE PIN
South Carolina MEDICAID 339413 MEDICARE PIN
South Carolina Other SC40913365 MEDICARE PIN
South Carolina Other SC40916067 MEDICARE PIN

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