Ineama, Christopher A

Ineama, Christopher A is an individual health care provider with primary practice located at 3750 S University Dr # 275 , Fort Worth TX 76109-3795. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ineama, Christopher A can be contacted via phone (817) 294-9600.

Contact Information

Primary practice address
3750 S University Dr # 275 Fort Worth TX 76109-3795
Phone: (817) 294-9600
Fax: (817) 294-9611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X 010468-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012149-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05609 Texas

Profile Details

NPI number 1063601300
LBN Legal business name Ineama, Christopher A
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063601300 NPPES
Texas MEDICAID 2825044

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