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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992778831 | NPPES |
| Oklahoma | MEDICAID | 1123714 | |
| Oklahoma | Other | P00769476 |
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