Udeh, Chukwuma John
Udeh, Chukwuma John is an sole proprietor health care provider with primary practice located at 399 E Highland Ave 415, San Bernardino CA 92404-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Udeh, Chukwuma John can be contacted via phone (909) 882-7554.Contact Information
Primary practice address
399 E Highland Ave 415
San Bernardino CA 92404-3808
Phone: (909) 882-7554
Fax: (909) 882-6511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 00G460740 | California |
Profile Details
| NPI number | 1700976065 |
|---|---|
| LBN Legal business name | Udeh, Chukwuma John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Aug 13th, 2009 - about 16 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 | 1700976065 | NPPES |
| California | MEDICAID | 00G460740 |
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