Anya, Kanayochukwu Kanny Jacquelyne
Anya, Kanayochukwu Kanny Jacquelyne is an individual health care provider with primary practice located at 6048 Lake Worth Blvd , Fort Worth TX 76135-3706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Anya, Kanayochukwu Kanny Jacquelyne can be contacted via phone (817) 270-4243.Contact Information
Primary practice address
6048 Lake Worth Blvd
Fort Worth TX 76135-3706
Phone: (817) 270-4243
Fax: (817) 270-4249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 54922-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD204301 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N9800 | Texas |
Profile Details
| NPI number | 1821278151 |
|---|---|
| LBN Legal business name | Anya, Kanayochukwu Kanny Jacquelyne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2007 |
| Last updated | Aug 4th, 2017 - about 8 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 | 1821278151 | NPPES |
| Texas | MEDICAID | 343872301 | |
| Texas | MEDICAID | 343872302 |
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