Ezenwajiaku, Theresa Chibuzo

Ezenwajiaku, Theresa Chibuzo is an individual health care provider with primary practice located at 15217 Jennings Ln , Bowie MD 20721-7215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ezenwajiaku, Theresa Chibuzo can be contacted via phone (240) 485-4619.

Contact Information

Primary practice address
15217 Jennings Ln Bowie MD 20721-7215
Phone: (240) 485-4619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AG06220137 Maryland

Profile Details

NPI number 1053047977
LBN Legal business name Ezenwajiaku, Theresa Chibuzo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2022
Last updated Jul 25th, 2022 - about 4 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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