Jokonya, Chiedza G

Jokonya, Chiedza G is an individual health care provider with primary practice located at 31 Colcord Street , South Berwick ME 03908-1004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jokonya, Chiedza G can be contacted via phone (207) 384-4949.

Contact Information

Primary practice address
31 Colcord Street South Berwick ME 03908-1004
Fax: (207) 384-5700
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17316 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15304 New Hampshire

Profile Details

NPI number 1043314313
LBN Legal business name Jokonya, Chiedza G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Apr 24th, 2014 - about 12 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 1043314313 NPPES
Maine Other P01127059 RR MEDICARE
Maine MEDICAID 3074511 RR MEDICARE
Maine MEDICAID 1043314313 RR MEDICARE

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