Ota, Nkemdirim

Ota, Nkemdirim is an sole proprietor health care provider with primary practice located at 2325 Delmar Ave , Vineland NJ 08360-6819. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Ota, Nkemdirim can be contacted via phone (267) 237-6561.

Contact Information

Primary practice address
2325 Delmar Ave Vineland NJ 08360-6819
Phone: (267) 237-6561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 26NR13397600 New Jersey

Profile Details

NPI number 1700427390
LBN Legal business name Ota, Nkemdirim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2019
Last updated Oct 4th, 2019 - about 5 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 1700427390 NPPES
New Jersey MEDICAID 2156710323

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