Momodu, Ifeanyi
Momodu, Ifeanyi is an individual health care provider with primary practice located at 500 Lauchwood Dr , Laurinburg NC 28352-5501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Momodu, Ifeanyi can be contacted via phone (910) 291-6904.Contact Information
Primary practice address
500 Lauchwood Dr
Laurinburg NC 28352-5501
Phone: (910) 291-6904
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD28234 | South Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2008-01217 | North Carolina |
Profile Details
NPI number | 1821076183 |
---|---|
LBN Legal business name | Momodu, Ifeanyi |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2006 |
Last updated | Feb 12th, 2019 - about 5 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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