1386918076 NPI number — CHINYERE HOPE BUCHI-AHIABUIKE DNP, CRNP

Table of content: CHINYERE HOPE BUCHI-AHIABUIKE DNP, CRNP (NPI 1386918076)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386918076 NPI number — CHINYERE HOPE BUCHI-AHIABUIKE DNP, CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUCHI-AHIABUIKE
Provider First Name:
CHINYERE
Provider Middle Name:
HOPE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP, CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386918076
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/04/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 97
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GADSDEN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35902-0097
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1216 WILBANKS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GADSDEN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-439-6384
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  1-132488 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 511-29041 . This is a "BLUE CROSS (COMPLEX)" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 511-54212 . This is a "BLUE CROSS (CHEROKEE)" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 140803 (SBC) , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 141033 (COMPLEX) , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 164990 (CHEROKEE) , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 511-29039 . This is a "BLUE CROSS (CANTERBERRY)" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 140804 (WATTS) , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 511-29037 . This is a "BLUE CROSS (SBC)" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 511-29040 . This is a "BLUE CROSS (WATTS)" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 140811 (CANTERBERRY) , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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