Nwakanma, Chuck G

Nwakanma, Chuck G is an individual health care provider with primary practice located at 2200 Randallia Dr. , Fort Wayne IN 46805-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Nwakanma, Chuck G can be contacted via phone (260) 373-6315.

Contact Information

Primary practice address
2200 Randallia Dr. Fort Wayne IN 46805-4738
Phone: (260) 373-6315
Fax: (260) 373-6348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036-104042 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301082608 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2006015249 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01067430A Indiana

Profile Details

NPI number 1417984063
LBN Legal business name Nwakanma, Chuck G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 18th, 2012 - about 14 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 1417984063 NPPES
Indiana Other 000000635990 ANTHEM
Indiana Other 000000772101 ANTHEM
Indiana MEDICAID 200962220 ANTHEM
Indiana Other P00803485 ANTHEM

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