Ilechukwu, Ifeyinwa

Ilechukwu, Ifeyinwa is an sole proprietor health care provider with primary practice located at 10350 W 9 Mile Rd , Oak Park MI 48237-2913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Ilechukwu, Ifeyinwa can be contacted via phone (248) 541-6630.

Contact Information

Primary practice address
10350 W 9 Mile Rd Oak Park MI 48237-2913
Phone: (248) 541-6630
Fax: (248) 541-6631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301072967 Michigan

Profile Details

NPI number 1427165109
LBN Legal business name Ilechukwu, Ifeyinwa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 2nd, 2015 - about 9 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 1427165109 NPPES
Other 373880 AETNA
Other 250823437 AETNA
MEDICAID 4695533 AETNA
Other 7900526 AETNA
Other 5594424 AETNA
Other 000000013644 AETNA

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