Iwuoha, Chinazom
Iwuoha, Chinazom is an sole proprietor health care provider with primary practice located at 2335 Country Hills Dr , Antioch CA 94509-7319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Iwuoha, Chinazom can be contacted via phone (925) 329-2612.Contact Information
Primary practice address
2335 Country Hills Dr
Antioch CA 94509-7319
Phone: (925) 329-2612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95010150 | California |
Profile Details
| NPI number | 1619444809 |
|---|---|
| LBN Legal business name | Iwuoha, Chinazom |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2018 |
| Last updated | Oct 26th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619444809 | NPPES |
| California | Other | 95010150 | FNP |
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