Iwelumo, Ifeoma

Iwelumo, Ifeoma is an sole proprietor health care provider with primary practice located at 266 Lakeview Ave , Clifton NJ 07011-4026. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Iwelumo, Ifeoma can be contacted via phone (973) 340-1222.

Contact Information

Primary practice address
266 Lakeview Ave Clifton NJ 07011-4026
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA051800 New Jersey

Profile Details

NPI number 1205897865
LBN Legal business name Iwelumo, Ifeoma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Dec 16th, 2011 - about 13 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 1205897865 NPPES
New Jersey MEDICAID 6090303

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