Odeluga, Chinyere I
Odeluga, Chinyere I is an individual health care provider with primary practice located at 915 West Chicago Avenue , East Chicago IN 46312. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Odeluga, Chinyere I can be contacted via phone (219) 397-6000.Contact Information
Primary practice address
915 West Chicago Avenue
East Chicago IN 46312
Phone: (219) 397-6000
Fax: (219) 397-6358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 041278213 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01045992 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036092321 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01045992 | Indiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036092321 | Illinois |
Profile Details
| NPI number | 1316002181 |
|---|---|
| LBN Legal business name | Odeluga, Chinyere I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Mar 21st, 2013 - about 13 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 | 1316002181 | NPPES |
| Other | 10784830 | LAQH | |
| Other | 080148349 | LAQH | |
| Other | 01045992 | LAQH | |
| Other | 036092321 | LAQH | |
| Other | 000000093249 | LAQH | |
| MEDICAID | 200118940 | LAQH |
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