Elueze, Ifeanyi Emmanuel

Elueze, Ifeanyi Emmanuel is an individual health care provider with primary practice located at 103 W Loop 281 Suite 700, Longview TX 75605-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Elueze, Ifeanyi Emmanuel can be contacted via phone (903) 315-5600.

Contact Information

Primary practice address
103 W Loop 281 Suite 700 Longview TX 75605-4653
Phone: (903) 315-5600
Fax: (903) 315-2757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35073719 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P0046 Texas

Profile Details

NPI number 1396734802
LBN Legal business name Elueze, Ifeanyi Emmanuel
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 23rd, 2013 - about 13 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 1396734802 NPPES
Ohio MEDICAID 2064788

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