Chidomere, Ikechukwu C

Chidomere, Ikechukwu C is an sole proprietor health care provider with primary practice located at 16731 Beechnut St Apt 206 , Houston TX 77083-6642. He recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as his primary health care specialty. Chidomere, Ikechukwu C can be contacted via phone (281) 902-8410.

Contact Information

Primary practice address
16731 Beechnut St Apt 206 Houston TX 77083-6642
Phone: (281) 902-8410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X Texas

Profile Details

NPI number 1871138776
LBN Legal business name Chidomere, Ikechukwu C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2019
Last updated Nov 14th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871138776 NPPES
Texas MEDICAID U92586271

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