Ugochuku, Ifeanyi
Ugochuku, Ifeanyi is an sole proprietor health care provider with primary practice located at 1881 Commercenter E Ste 118, San Bernardino CA 92408-3442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ugochuku, Ifeanyi can be contacted via phone (909) 890-1880.Contact Information
Primary practice address
1881 Commercenter E Ste 118
San Bernardino CA 92408-3442
Phone: (909) 890-1880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G86654 | California |
Profile Details
| NPI number | 1558393017 |
|---|---|
| LBN Legal business name | Ugochuku, Ifeanyi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 16th, 2017 - about 7 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 | 1558393017 | NPPES |
| California | MEDICAID | 00G866540 |
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