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
Phone: (704) 864-6500
Fax: (704) 864-0104
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992703813 | NPPES |
| North Carolina | MEDICAID | 5900575 |
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