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Contact Information

SONNY M NWACHUKU, MSA
721 CHURCH LN STE 1
YEADON, PA19050-3502
 Phone: 267-275-8478
 Fax: 267-275-8774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

385HR2060X
Indicates primary specialty

NPI Profile & details for SONNY M NWACHUKU · (Male)

NPI Number 1255094199
Status Active
Credentials MSA
Entity Individual
Enumeration date 10/18/2021
Last updated 10/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 25783601
  • PA Medicaid 102932041
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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