Igwike, Emmanuel
Igwike, Emmanuel is an sole proprietor health care provider with primary practice located at 4141 W Bradley Rd Suite 214, Brown Deer WI 53209-1700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Igwike, Emmanuel can be contacted via phone (414) 371-2506.Contact Information
Primary practice address
4141 W Bradley Rd Suite 214
Brown Deer WI 53209-1700
Phone: (414) 371-2506
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5519 | Wisconsin |
Profile Details
| NPI number | 1104911239 |
|---|---|
| LBN Legal business name | Igwike, Emmanuel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 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 | 1104911239 | NPPES |
| Wisconsin | MEDICAID | 33778800 |
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