Ijei, Charlotte Virginia

Ijei, Charlotte Virginia is an sole proprietor health care provider with primary practice located at 16762 Deveronne Cir , Chesterfield MO 63005-1617. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ijei, Charlotte Virginia can be contacted via phone (314) 704-5961.

Contact Information

Primary practice address
16762 Deveronne Cir Chesterfield MO 63005-1617
Phone: (314) 704-5961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001535 Missouri

Profile Details

NPI number 1326240995
LBN Legal business name Ijei, Charlotte Virginia
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326240995 NPPES
Missouri MEDICAID 498115203

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