Izah, Augustine I
Izah, Augustine I is an sole proprietor health care provider with primary practice located at 5857 Broadway , Merrillville IN 46410-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Izah, Augustine I can be contacted via phone (219) 884-4450.Contact Information
Primary practice address
5857 Broadway
Merrillville IN 46410-2666
Phone: (219) 884-4450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01042994 | Indiana |
Profile Details
| NPI number | 1760476303 |
|---|---|
| LBN Legal business name | Izah, Augustine I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Nov 17th, 2009 - about 16 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 | 1760476303 | NPPES |
| Indiana | MEDICAID | 200044580 |
Popular Providers
-
Szefler, Andrew
251 W 84Th Dr , Merrillville IN 46410-6243 -
Zato, William
7805 Taft St Ste E , Merrillville IN 46410-5237 -
Parikh, Rakesh N
5490 Broadway Ste 106 , Merrillville IN 46410-1676 -
Alobeid, Yaser
3903 E Us Highway 30 , Merrillville IN 46410-5810 -
Nantes, Isidora L
751 E 81St Ave , Merrillville IN 46410-5538 -
Brown, Angelique D
6111 Harrison St Suite 331, Merrillville IN 46410-2969 -
Reddy, Suresh D.
8777 Broadway Suite A, Merrillville IN 46410-6693 -
Farley, Johann David
8300 Broadway Ste D2 , Merrillville IN 46410-8603