Ibeanu, Okechukwu Anthony
Ibeanu, Okechukwu Anthony is an individual health care provider with primary practice located at 9135 Piscataway Rd Ste 420 , Clinton MD 20735-2555. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Ibeanu, Okechukwu Anthony can be contacted via phone (301) 828-2555.Contact Information
Primary practice address
9135 Piscataway Rd Ste 420
Clinton MD 20735-2555
Phone: (301) 828-2555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 15442R | Louisiana |
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | MD423582 | Pennsylvania |
Profile Details
NPI number | 1538182571 |
---|---|
LBN Legal business name | Ibeanu, Okechukwu Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Mar 2nd, 2016 - about 8 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 | 1538182571 | NPPES |
Pennsylvania | MEDICAID | 103065271 | |
Pennsylvania | MEDICAID | 1074497 |
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