Okonoboh, Peters Ehiosuorea
Okonoboh, Peters Ehiosuorea is an individual health care provider with primary practice located at 759 Chestnut St , Springfield MA 01199-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Okonoboh, Peters Ehiosuorea can be contacted via phone (413) 794-4320.Contact Information
Primary practice address
759 Chestnut St
Springfield MA 01199-0001
Phone: (413) 794-4320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 261781 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 261781 | Massachusetts |
Profile Details
| NPI number | 1215166020 |
|---|---|
| LBN Legal business name | Okonoboh, Peters Ehiosuorea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2009 |
| Last updated | Sep 19th, 2017 - about 7 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 | 1215166020 | NPPES |
| North Carolina | MEDICAID | 5920972 | |
| North Carolina | MEDICAID | 1215166020 |
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