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
Fax: (219) 397-6358
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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