Duru, Vincent Ezenwa

Duru, Vincent Ezenwa is an individual health care provider with primary practice located at 399 Hospital Ln , Terre Haute IN 47802-4394. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Duru, Vincent Ezenwa can be contacted via phone (812) 645-2308.

Contact Information

Primary practice address
399 Hospital Ln Terre Haute IN 47802-4394
Phone: (812) 645-2308
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-59222 Indiana
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1669719712
LBN Legal business name Duru, Vincent Ezenwa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Apr 26th, 2024 - about 2 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 1669719712 NPPES
California Other 172V00000X COMMUNITY HEALTH WORKER

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