Provider Demographics
NPI:1184919730
Name:ONYIA, CHUKWUDI FRANKLIN (LPN)
Entity type:Individual
Prefix:MR
First Name:CHUKWUDI
Middle Name:FRANKLIN
Last Name:ONYIA
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 EVERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8089
Mailing Address - Country:US
Mailing Address - Phone:614-886-2195
Mailing Address - Fax:
Practice Address - Street 1:340 EVERGREEN CIR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8089
Practice Address - Country:US
Practice Address - Phone:614-886-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN142579164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN142579OtherOHIO BOARD OF NURSING