Okwara, Benedict O
Okwara, Benedict O is an sole proprietor health care provider with primary practice located at 404 South Sutherland Ave. , Monroe NC 28112. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Okwara, Benedict O can be contacted via phone (704) 291-9267.Contact Information
Primary practice address
404 South Sutherland Ave.
Monroe NC 28112
Phone: (704) 291-9267
Fax: (704) 283-7939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 33878 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 33878 | North Carolina |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 33878 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33878 | North Carolina |
Profile Details
| NPI number | 1487613840 |
|---|---|
| LBN Legal business name | Okwara, Benedict O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jun 14th, 2018 - about 6 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 | 1487613840 | NPPES |
| South Carolina | MEDICAID | N33878 | |
| South Carolina | MEDICAID | 7963995 |
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