Igwilo, Peter C

Igwilo, Peter C is an sole proprietor health care provider with primary practice located at 3640 Nw 8Th St , Ft Lauderdale FL 33311-6418. He recently has only one registered license in Nursing Service Related Providers / Religious Nonmedical Practitioner, which is considered as his primary health care specialty. Igwilo, Peter C can be contacted via phone (954) 618-7151.

Contact Information

Primary practice address
3640 Nw 8Th St Ft Lauderdale FL 33311-6418
Phone: (954) 618-7151
Fax: (954) 616-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X Florida

Profile Details

NPI number 1023317658
LBN Legal business name Igwilo, Peter C
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2011
Last updated Mar 22nd, 2011 - about 15 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 1023317658 NPPES
Florida MEDICAID 002757900

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