Odeluga, Irene

Odeluga, Irene is an individual health care provider with primary practice located at 915 W Chicago Ave , East Chicago IN 46312-3308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odeluga, Irene can be contacted via phone (219) 397-6000.

Contact Information

Primary practice address
915 W Chicago Ave East Chicago IN 46312-3308
Phone: (219) 397-6000
Fax: (219) 397-6358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004855A Indiana

Profile Details

NPI number 1720405228
LBN Legal business name Odeluga, Irene
Credentials MS RN FNP - BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2014
Last updated Mar 21st, 2014 - about 11 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 1720405228 NPPES
Indiana Other 71004855A LICENSE

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