Izediuno, Ifeanyi

Izediuno, Ifeanyi is an individual health care provider with primary practice located at 2770 Main St Ste 284 , Frisco TX 75033-4527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Izediuno, Ifeanyi can be contacted via phone (469) 929-1199.

Contact Information

Primary practice address
2770 Main St Ste 284 Frisco TX 75033-4527
Phone: (469) 929-1199
Fax: (469) 582-0094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2013002800 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Q3017 Texas

Profile Details

NPI number 1043443401
LBN Legal business name Izediuno, Ifeanyi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2009
Last updated Oct 10th, 2017 - 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.

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