Odibo, Michael Chukwuma
Odibo, Michael Chukwuma is an sole proprietor health care provider with primary practice located at 1215 Medical Center Dr , Wilmington NC 28401-7306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Odibo, Michael Chukwuma can be contacted via phone (910) 228-5894.Contact Information
Primary practice address
1215 Medical Center Dr
Wilmington NC 28401-7306
Phone: (910) 228-5894
Fax: (888) 836-5759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015-01360 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08470600 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301091533 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 251015 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 42141 | Kentucky |
Profile Details
| NPI number | 1144496191 |
|---|---|
| LBN Legal business name | Odibo, Michael Chukwuma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Feb 29th, 2024 - about 7 months 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 | 1144496191 | NPPES |
| Kentucky | Other | 000000592390 | ANTHEM |
| Kentucky | Other | 000000592390 | ANTHEM |
| Kentucky | MEDICAID | 7100061340 | ANTHEM |
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