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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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