Ekong, Theodore O
Ekong, Theodore O is an sole proprietor health care provider with primary practice located at 3127 Eastway Dr Ste. 109, Charlotte NC 28205-5643. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Ekong, Theodore O can be contacted via phone (704) 536-5911.Contact Information
Primary practice address
3127 Eastway Dr Ste. 109
Charlotte NC 28205-5643
Phone: (704) 536-5911
Fax: (704) 536-9770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 00651 | North Carolina |
Profile Details
| NPI number | 1962629253 |
|---|---|
| LBN Legal business name | Ekong, Theodore O |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1962629253 | NPPES |
| North Carolina | MEDICAID | 7703516 |
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