Oriaku, Iheonu Usouwa

Oriaku, Iheonu Usouwa is an sole proprietor health care provider with primary practice located at 631 17Th Street , Vero Beach FL 32960-5518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Oriaku, Iheonu Usouwa can be contacted via phone (772) 778-1603.

Contact Information

Primary practice address
631 17Th Street Vero Beach FL 32960-5518
Phone: (772) 778-1603
Fax: (772) 231-8470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME79198 Florida

Profile Details

NPI number 1164579827
LBN Legal business name Oriaku, Iheonu Usouwa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Sep 28th, 2010 - about 14 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 1164579827 NPPES
Florida MEDICAID 259802700

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