Provider Demographics
NPI:1366561474
Name:VALCEE MEDICAL CORPORATION
Entity type:Organization
Organization Name:VALCEE MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:CHUKS
Authorized Official - Last Name:OZOIGBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-767-3871
Mailing Address - Street 1:1620 S WHITE STATION RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-7220
Mailing Address - Country:US
Mailing Address - Phone:901-767-3871
Mailing Address - Fax:
Practice Address - Street 1:1620 S WHITE STATION RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-7220
Practice Address - Country:US
Practice Address - Phone:901-767-3871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40284207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3731411Medicare ID - Type UnspecifiedGROUP PRICING NUMBER