Provider Demographics
NPI:1346139243
Name:CHUKWUEMEKA, INNOCENT I
Entity type:Individual
Prefix:
First Name:INNOCENT
Middle Name:I
Last Name:CHUKWUEMEKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16320 131ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-5512
Mailing Address - Country:US
Mailing Address - Phone:470-881-0786
Mailing Address - Fax:
Practice Address - Street 1:16320 131ST AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-5512
Practice Address - Country:US
Practice Address - Phone:470-881-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)