Eziukwu, Stanley

Eziukwu, Stanley is an individual health care provider with primary practice located at 1001 Bellefontaine Ave , Lima OH 45804-2800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Eziukwu, Stanley can be contacted via phone (419) 228-3335.

Contact Information

Primary practice address
1001 Bellefontaine Ave Lima OH 45804-2800
Phone: (419) 228-3335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.141450 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.141450 Ohio

Profile Details

NPI number 1669901450
LBN Legal business name Eziukwu, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2017
Last updated Oct 23rd, 2023 - about last year

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 1669901450 NPPES
Ohio MEDICAID 0444619

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