Odunukwe, Chukwukadibia J

Odunukwe, Chukwukadibia J is an individual health care provider with primary practice located at 5604 Sw Lee Blvd Suite 210, Lawton OK 73505-9681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Odunukwe, Chukwukadibia J can be contacted via phone (580) 531-6462.

Contact Information

Primary practice address
5604 Sw Lee Blvd Suite 210 Lawton OK 73505-9681
Phone: (580) 531-6462
Fax: (580) 531-6426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23714 Oklahoma

Profile Details

NPI number 1992778831
LBN Legal business name Odunukwe, Chukwukadibia J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Sep 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 1992778831 NPPES
Oklahoma MEDICAID 1123714
Oklahoma Other P00769476

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