Nwakanma, Chuck G
Nwakanma, Chuck G is an individual health care provider with primary practice located at 2200 Randallia Dr. , Fort Wayne IN 46805-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Nwakanma, Chuck G can be contacted via phone (260) 373-6315.Contact Information
Primary practice address
2200 Randallia Dr.
Fort Wayne IN 46805-4738
Phone: (260) 373-6315
Fax: (260) 373-6348
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036-104042 | Illinois |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4301082608 | Michigan |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2006015249 | Missouri |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01067430A | Indiana |
Profile Details
NPI number | 1417984063 |
---|---|
LBN Legal business name | Nwakanma, Chuck G |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
Last updated | Oct 18th, 2012 - about 12 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 | 1417984063 | NPPES |
Indiana | Other | 000000635990 | ANTHEM |
Indiana | Other | 000000772101 | ANTHEM |
Indiana | MEDICAID | 200962220 | ANTHEM |
Indiana | Other | P00803485 | ANTHEM |
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