Omeruah, Chiazom C
Omeruah, Chiazom C is an individual health care provider with primary practice located at 1240 Eagles Landing Pkwy Ste 110 , Stockbridge GA 30281-5173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Omeruah, Chiazom C can be contacted via phone (770) 389-3855.Contact Information
Primary practice address
1240 Eagles Landing Pkwy Ste 110
Stockbridge GA 30281-5173
Phone: (770) 389-3855
Fax: (770) 474-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS015547 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO.1225 | Alabama |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 75091 | Georgia |
Profile Details
| NPI number | 1265698922 |
|---|---|
| LBN Legal business name | Omeruah, Chiazom C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2008 |
| Last updated | Mar 27th, 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 | 1265698922 | NPPES |
| Alabama | Other | 2984309 | CIGNA |
| Alabama | Other | 511-18690 | CIGNA |
| Alabama | MEDICAID | 133889 | CIGNA |
| Alabama | Other | Z40098 | CIGNA |
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