| Solomon Okwueze Professional Limited Liability Company | |
|
16713 Lilting Moon Ct Moseley VA 23120-2325 | |
| (804) 547-9564 | |
| Not Available |
| Full Name | Solomon Okwueze Professional Limited Liability Company |
|---|---|
| Speciality | Clinic/Center |
| Location | 16713 Lilting Moon Ct, Moseley, Virginia |
| Authorized Official Name and Position | Solomon Okwueze (OWNER) |
| Authorized Official Contact | 8045479564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solomon Okwueze Professional Limited Liability Company 16713 Lilting Moon Ct Moseley VA 23120-2325 Ph: () - | Solomon Okwueze Professional Limited Liability Company 16713 Lilting Moon Ct Moseley VA 23120-2325 Ph: (804) 547-9564 |
| NPI Number | 1447976527 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 7911377262 |
|---|---|
| Medicare Enrollment ID | O20221230001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447976527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Solomon Okwueze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700554763 PECOS PAC ID: 7618369794 Enrollment ID: I20221102003403 |
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