Provider Demographics
NPI:1538764956
Name:ORAMEH, JOSEPH CHUKWUDI
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHUKWUDI
Last Name:ORAMEH
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 1:801 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-4066
Mailing Address - Country:US
Mailing Address - Phone:219-924-2491
Mailing Address - Fax:219-924-3006
Practice Address - Street 1:801 MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-4066
Practice Address - Country:US
Practice Address - Phone:219-924-2491
Practice Address - Fax:219-924-3006
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025927A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist