Ezenwanne, Odilichi

Ezenwanne, Odilichi is an individual health care provider with primary practice located at 1820 Peabody St , Tunica MS 38676-9441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Ezenwanne, Odilichi can be contacted via phone (662) 363-3656.

Contact Information

Primary practice address
1820 Peabody St Tunica MS 38676-9441
Phone: (662) 363-3656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 27125 Mississippi
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 67275 Wisconsin

Profile Details

NPI number 1841504206
LBN Legal business name Ezenwanne, Odilichi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Feb 18th, 2020 - about 5 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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