Ezike, Korlu
Ezike, Korlu is an individual health care provider with primary practice located at 1220 Sugarberry Ln , Collegeville PA 19426-2886. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ezike, Korlu can be contacted via phone (267) 246-2687.Contact Information
Primary practice address
1220 Sugarberry Ln
Collegeville PA 19426-2886
Phone: (267) 246-2687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW010122 | Pennsylvania |
Profile Details
| NPI number | 1780187914 |
|---|---|
| LBN Legal business name | Ezike, Korlu |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2018 |
| Last updated | Aug 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780187914 | NPPES |
| Pennsylvania | MEDICAID | 665666 |
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