Ofoma, Chinelo

Ofoma, Chinelo is an individual health care provider with primary practice located at 704 Gold Hill Rd Suite 207, Fort Mill SC 29715-8906. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ofoma, Chinelo can be contacted via phone (803) 802-5900.

Contact Information

Primary practice address
704 Gold Hill Rd Suite 207 Fort Mill SC 29715-8906
Phone: (803) 802-5900
Fax: (803) 802-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NJ00610800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20099 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20099 South Carolina

Profile Details

NPI number 1093176729
LBN Legal business name Ofoma, Chinelo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2016
Last updated Nov 11th, 2016 - about 10 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 1093176729 NPPES
South Carolina MEDICAID NP3863

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