Amene, Chiazo S
Amene, Chiazo S is an individual health care provider with primary practice located at 909 9Th Ave Ste 201 , Fort Worth TX 76104-3916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Amene, Chiazo S can be contacted via phone (817) 870-5094.Contact Information
Primary practice address
909 9Th Ave Ste 201
Fort Worth TX 76104-3916
Phone: (817) 870-5094
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 2014010397 | Missouri |
Profile Details
| NPI number | 1245435056 |
|---|---|
| LBN Legal business name | Amene, Chiazo S |
| Credentials | MD, FAANS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Jul 30th, 2023 - about last year |
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 | 1245435056 | NPPES |
| Missouri | MEDICAID | 1245435056 |
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