Ohaegbulam, Chima O
Ohaegbulam, Chima O is an individual health care provider with primary practice located at 125 Parker Hill Ave Converse 4, Roxbury Crossing MA 02120-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Ohaegbulam, Chima O can be contacted via phone (617) 754-6025.Contact Information
Primary practice address
125 Parker Hill Ave Converse 4
Roxbury Crossing MA 02120-2847
Phone: (617) 754-6025
Fax: (617) 754-6026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 160498 | Massachusetts |
Profile Details
| NPI number | 1164424693 |
|---|---|
| LBN Legal business name | Ohaegbulam, Chima O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Dec 4th, 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 | 1164424693 | NPPES |
| Massachusetts | MEDICAID | 2106191 |
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