Korieocha, Stellamaria Ngozi
Korieocha, Stellamaria Ngozi is an individual health care provider with primary practice located at 311 Main St , Orange NJ 07050-3607. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Korieocha, Stellamaria Ngozi can be contacted via phone (973) 673-5773.Contact Information
Primary practice address
311 Main St
Orange NJ 07050-3607
Phone: (973) 673-5773
Fax: (973) 673-5794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00549800 | New Jersey |
Profile Details
| NPI number | 1154468973 |
|---|---|
| LBN Legal business name | Korieocha, Stellamaria Ngozi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | May 18th, 2009 - about 15 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 | 1154468973 | NPPES |
| New Jersey | MEDICAID | 7455801 |
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