MR. SOLOMON CHIMAOBIM NWACHUKWU


Address: 10 Lewis St, Suite 2, Medford, MA 02155-2629
Phone: 7814757864

MR. SOLOMON CHIMAOBIM NWACHUKWU (NPI# 1629360029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629360029
Entity Type Individual
Full Name MR. SOLOMON CHIMAOBIM NWACHUKWU
Credential RN
Practice Address 10 Lewis St
Suite 2
Medford
MA 02155-2629
Practice Telephone 7814757864
Mailing Telephone 7814757864
Enumeration Date 2011-05-04
Last Update Date 2011-05-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC1500X Registered Nurse
Specialization: Community Health
R156749 MD Nursing Service Providers
Y 163WG0000X Registered Nurse
Specialization: General Practice
217716 MA Nursing Service Providers

Office Location

Street Address 10 LEWIS ST
SUITE 2
City MEDFORD
State MA
Zip Code 02155-2629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760776439 Rite Time Home Care Services Inc In Home Supportive Care 10 Lewis St, Rear Suite, Medford, MA 02155-2629 2011-05-30

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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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1033635388 Kaeli Jo Harney Registered Nurse 28 Golden Ave, Medford, MA 02155-6104 2017-08-18
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1053557413 Kathryn A Warner Registered Nurse 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2009-01-06
1265403851 Susan Basilicato Registered Nurse 1200 Mira Mar Ave, Medford, OR 97504-8546 2006-01-31

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1689218851 Violette Chery Registered Nurse 139 Cross St, Malden, MA 02148-7833 2019-10-31
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Competitor

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City MEDFORD
Zip Code 02155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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