Eze, Augustine R

Eze, Augustine R is an individual health care provider with primary practice located at 825 Majestic Ct Ste F , Gastonia NC 28054-5190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eze, Augustine R can be contacted via phone (704) 864-6500.

Contact Information

Primary practice address
825 Majestic Ct Ste F Gastonia NC 28054-5190
Fax: (704) 864-0104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9600205 North Carolina

Profile Details

NPI number 1992703813
LBN Legal business name Eze, Augustine R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 16th, 2014 - about 10 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 1992703813 NPPES
North Carolina MEDICAID 5900575

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