Ezeigbo, Walter Azubuike
Ezeigbo, Walter Azubuike is an individual health care provider with primary practice located at 1000 Southpark Blvd Suite A, Winston Salem NC 27127-5072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ezeigbo, Walter Azubuike can be contacted via phone (336) 788-4545.Contact Information
Primary practice address
1000 Southpark Blvd Suite A
Winston Salem NC 27127-5072
Phone: (336) 788-4545
Fax: (336) 788-4556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9601605 | North Carolina |
Profile Details
| NPI number | 1306839659 |
|---|---|
| LBN Legal business name | Ezeigbo, Walter Azubuike |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306839659 | NPPES |
| North Carolina | MEDICAID | 891075W |
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