Ezenwaka, Ekenedilichukwu

Ezenwaka, Ekenedilichukwu is an individual health care provider with primary practice located at 7707 Austin Rd , Stockton CA 95215-8312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Ezenwaka, Ekenedilichukwu can be contacted via phone (209) 467-8655.

Contact Information

Primary practice address
7707 Austin Rd Stockton CA 95215-8312
Phone: (209) 467-8655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95030565 California

Profile Details

NPI number 1669215000
LBN Legal business name Ezenwaka, Ekenedilichukwu
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2024
Last updated Jun 14th, 2024 - about 5 months 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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