Iwuagwu, Anthony O

Iwuagwu, Anthony O is an sole proprietor health care provider with primary practice located at 2200 Grant St Ste 207, Gary IN 46404-3439. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Iwuagwu, Anthony O can be contacted via phone (219) 944-7565.

Contact Information

Primary practice address
2200 Grant St Ste 207 Gary IN 46404-3439
Phone: (219) 944-7565
Fax: (219) 944-1304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 01051456A Indiana
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 01051456A Indiana

Profile Details

NPI number 1699844886
LBN Legal business name Iwuagwu, Anthony O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699844886 NPPES
Indiana MEDICAID 200247520A

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