Chukwuka, Carol Ann

Chukwuka, Carol Ann is an individual health care provider with primary practice located at 1441 W Central Park Ave , Davenport IA 52804-1707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Chukwuka, Carol Ann can be contacted via phone (563) 383-1900.

Contact Information

Primary practice address
1441 W Central Park Ave Davenport IA 52804-1707
Phone: (563) 383-1900
Fax: (563) 328-5690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G155244 Iowa

Profile Details

NPI number 1174176093
LBN Legal business name Chukwuka, Carol Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2019
Last updated May 22nd, 2024 - about 7 months 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 1174176093 NPPES
Iowa Other G155244 LICENSE NUMBER

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