Provider Demographics
NPI:1285964395
Name:NJOKU, CHUKWUEMEKA NWAKAMMA
Entity type:Individual
Prefix:MR
First Name:CHUKWUEMEKA
Middle Name:NWAKAMMA
Last Name:NJOKU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E SIX FORKS RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7752
Mailing Address - Country:US
Mailing Address - Phone:919-881-8210
Mailing Address - Fax:919-784-9498
Practice Address - Street 1:100 E SIX FORKS RD
Practice Address - Street 2:SUITE 130
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7752
Practice Address - Country:US
Practice Address - Phone:919-881-8210
Practice Address - Fax:919-784-9498
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCFTS0989225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter