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
Phone: (508) 556-1072
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972823870 | NPPES |
Massachusetts | MEDICAID | 110100196A |
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