Okoli, Chidimma I

Okoli, Chidimma I is an sole proprietor health care provider with primary practice located at 100 Grove St Ste 210 , Worcester MA 01605. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Okoli, Chidimma I can be contacted via phone (508) 556-1072.

Contact Information

Primary practice address
100 Grove St Ste 210 Worcester MA 01605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 253584 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 253584 Massachusetts

Profile Details

NPI number 1972823870
LBN Legal business name Okoli, Chidimma I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2010
Last updated Dec 2nd, 2020 - about 4 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 1972823870 NPPES
Massachusetts MEDICAID 110100196A

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