Provider Demographics
NPI:1851881890
Name:UZOMA, CHUKWUEMEKA C (RN)
Entity Type:Individual
Prefix:MR
First Name:CHUKWUEMEKA
Middle Name:C
Last Name:UZOMA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W MCMILLAN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-3201
Mailing Address - Country:US
Mailing Address - Phone:513-477-9652
Mailing Address - Fax:
Practice Address - Street 1:324 W MCMILLAN ST APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-3201
Practice Address - Country:US
Practice Address - Phone:513-477-9652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.365660163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH163WC1500XMedicaid