Egbuna, Ikenna I
Egbuna, Ikenna I is an sole proprietor health care provider with primary practice located at 3270 Joe Battle Blvd 245, El Paso TX 79938-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Egbuna, Ikenna I can be contacted via phone (915) 702-0165.Contact Information
Primary practice address
3270 Joe Battle Blvd 245
El Paso TX 79938-2639
Phone: (915) 702-0165
Fax: (915) 702-0167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01070397A | Indiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | P1638 | Texas |
Profile Details
| NPI number | 1598805574 |
|---|---|
| LBN Legal business name | Egbuna, Ikenna I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1598805574 | NPPES |
| Indiana | Other | 000000750628 | ANTHEM PROVIDER NUMBER |
| Indiana | MEDICAID | 201049570 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 241127 | ANTHEM PROVIDER NUMBER |
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