Egbo, Chinwe J

Egbo, Chinwe J is an individual health care provider with primary practice located at 10835 North 25Th Avenue Suite 115, Phoenix AZ 85029-3452. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Egbo, Chinwe J can be contacted via phone (602) 789-0344.

Contact Information

Primary practice address
10835 North 25Th Avenue Suite 115 Phoenix AZ 85029-3452
Phone: (602) 789-0344
Fax: (602) 789-8389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33581 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33582 Arizona

Profile Details

NPI number 1447213822
LBN Legal business name Egbo, Chinwe J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Nov 29th, 2018 - about 8 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 1447213822 NPPES
Arizona MEDICAID 930158-01

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