Provider Demographics
NPI:1427257906
Name:NWOGA, EKECHI (DC)
Entity type:Individual
Prefix:DR
First Name:EKECHI
Middle Name:
Last Name:NWOGA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 CHESTERFIELD ST S
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-7113
Mailing Address - Country:US
Mailing Address - Phone:803-226-0231
Mailing Address - Fax:
Practice Address - Street 1:227 CHESTERFIELD ST S
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-7113
Practice Address - Country:US
Practice Address - Phone:803-226-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30405111N00000X
SCDC 4093111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111N00000XChiropractic ProvidersChiropractor