Idahosa, Eromonsele O.
Idahosa, Eromonsele O. is an sole proprietor health care provider with primary practice located at 8354 Little Eagle Court Suite C, Indianapolis IN 46234. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Idahosa, Eromonsele O. can be contacted via phone (317) 291-1211.Contact Information
Primary practice address
8354 Little Eagle Court Suite C
Indianapolis IN 46234
Phone: (317) 291-1211
Fax: (317) 291-1194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 01057350A | Indiana |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01057350A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01057350A | Indiana |
Profile Details
NPI number | 1588659924 |
---|---|
LBN Legal business name | Idahosa, Eromonsele O. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 12th, 2005 |
Last updated | Oct 6th, 2011 - about 14 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 | 1588659924 | NPPES |
Indiana | MEDICAID | 200811720 |
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