Uketui, Ozoemenam Immanuel

Uketui, Ozoemenam Immanuel is an individual health care provider with primary practice located at 1905 19Th St , Great Bend KS 67530-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Uketui, Ozoemenam Immanuel can be contacted via phone (620) 792-5700.

Contact Information

Primary practice address
1905 19Th St Great Bend KS 67530-2502
Phone: (620) 792-5700
Fax: (620) 792-5742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R6P76 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0428643 Kansas

Profile Details

NPI number 1700853926
LBN Legal business name Uketui, Ozoemenam Immanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 7th, 2023 - about 3 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 1700853926 NPPES
Kansas MEDICAID 100288780D
Kansas MEDICAID 203062153

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