Ilogu, Noel
Ilogu, Noel is an sole proprietor health care provider with primary practice located at 33 Clyde Rd Ste 105, Somerset NJ 08873-5032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ilogu, Noel can be contacted via phone (732) 247-9001.Contact Information
Primary practice address
33 Clyde Rd Ste 105
Somerset NJ 08873-5032
Phone: (732) 247-9001
Fax: (732) 463-2945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 25MA06645800 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06645800 | New Jersey |
Profile Details
| NPI number | 1518063551 |
|---|---|
| LBN Legal business name | Ilogu, Noel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jun 12th, 2024 - about 6 months 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 | 1518063551 | NPPES |
| New Jersey | Other | 223638353 | TAX ID |
| New Jersey | Other | 462180488 | TAX ID |
| New Jersey | MEDICAID | 7993501 | TAX ID |
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