Ezike, Uchenna A

Ezike, Uchenna A is an individual health care provider with primary practice located at 370 Cline Ave , Mansfield OH 44907-1057. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ezike, Uchenna A can be contacted via phone (419) 709-9597.

Contact Information

Primary practice address
370 Cline Ave Mansfield OH 44907-1057
Phone: (419) 709-9597
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R1428 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X OH 35093594 Ohio

Profile Details

NPI number 1073630893
LBN Legal business name Ezike, Uchenna A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Dec 29th, 2020 - about 4 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 1073630893 NPPES
Ohio MEDICAID 2595286

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