Obioma, Ikenna K.
Obioma, Ikenna K. is an individual health care provider with primary practice located at 169 Martin Ave , Ephrata PA 17522-1734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Obioma, Ikenna K. can be contacted via phone (717) 733-0311.Contact Information
Primary practice address
169 Martin Ave
Ephrata PA 17522-1734
Phone: (717) 733-0311
Fax: (717) 721-5861
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD438244 | Pennsylvania |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 10473 | Nevada |
Profile Details
NPI number | 1740257492 |
---|---|
LBN Legal business name | Obioma, Ikenna K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | Sep 11th, 2023 - about last year |
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 | 1740257492 | NPPES |
Nevada | MEDICAID | 100500704 |
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