Iloegbunam, Okey

Iloegbunam, Okey is an individual health care provider with primary practice located at 1510 E Wagon Wheel Ln Ste 110 , Fort Mohave AZ 86426-6698. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Iloegbunam, Okey can be contacted via phone (928) 788-3333.

Contact Information

Primary practice address
1510 E Wagon Wheel Ln Ste 110 Fort Mohave AZ 86426-6698
Phone: (928) 788-3333
Fax: (928) 788-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X AP10673 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP10673 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP10673 Arizona

Profile Details

NPI number 1477072130
LBN Legal business name Iloegbunam, Okey
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2017
Last updated Mar 17th, 2018 - about 6 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 1477072130 NPPES
Arizona MEDICAID 339857

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