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
Fax: (973) 673-5794
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154468973 NPPES
New Jersey MEDICAID 7455801

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