Ejiofor, Moses C

Ejiofor, Moses C is an individual health care provider with primary practice located at 1515 Kanis Park Dr Suite B, Little Rock AR 72205-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ejiofor, Moses C can be contacted via phone (501) 603-9277.

Contact Information

Primary practice address
1515 Kanis Park Dr Suite B Little Rock AR 72205-4569
Fax: (501) 603-9877
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E-1071 Arkansas

Profile Details

NPI number 1942277843
LBN Legal business name Ejiofor, Moses C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jun 24th, 2021 - about 3 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 1942277843 NPPES
Arkansas MEDICAID 131530001

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