| Favor Healthcare Practice Llc | |
|
200 S Dupont Blvd Ste 104 Smyrna DE 19977-1552 | |
| (302) 423-0568 | |
| Not Available |
| Full Name | Favor Healthcare Practice Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 S Dupont Blvd Ste 104, Smyrna, Delaware |
| Authorized Official Name and Position | Ihuoma Chuks (OWNER) |
| Authorized Official Contact | 3023635769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Favor Healthcare Practice Llc 200 S Dupont Blvd Ste 104 Smyrna DE 19977-1552 Ph: (302) 423-0568 | Favor Healthcare Practice Llc 200 S Dupont Blvd Ste 104 Smyrna DE 19977-1552 Ph: (302) 423-0568 |
| NPI Number | 1639608086 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 1951795558 |
|---|---|
| Medicare Enrollment ID | O20220224001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639608086 | NPI | - | NPPES |
| 1235417247 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | L10024346 (Delaware) | Primary |
| Provider Name | Ihuoma C Chuks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235417247 PECOS PAC ID: 9638141583 Enrollment ID: I20040811000026 |
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