Edokwe, Obunike O

Edokwe, Obunike O is an sole proprietor health care provider with primary practice located at 495 N 13Th St , Newark NJ 07107-1317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edokwe, Obunike O can be contacted via phone (973) 268-1400.

Contact Information

Primary practice address
495 N 13Th St Newark NJ 07107-1317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA05586100 New Jersey

Profile Details

NPI number 1306848080
LBN Legal business name Edokwe, Obunike O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Jan 31st, 2013 - about 11 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 1306848080 NPPES
New Jersey MEDICAID 2492601

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