| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOSEPH C IKEKWERE | 1568859635 | 2023-02-12 |
Joseph C Ikekwere is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568859635. Registration indicates Joseph C Ikekwere is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology Access to Substance Use Disorder Providers (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Addiction Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Addiction Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) Access to Mental Health/Behavioral Health Providers (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) Access to Mental Health/Behavioral Health Providers (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Joseph C Ikekwere M.D, MPH |
| Practice Office Address | 3101 S AUSTIN AVE GEORGETOWN, TX US |
| Practice Office Telephone | 5126214547 |
| Practice Office Fax | 3127296582 |
| Mailing Address | PO BOX 4088 CEDAR PARK, TX 786304088 US |
| Business Telephone | 5126214547 |
| Business Fax | 3129572834 |
| Address | City / State | Phone / Fax |
|---|---|---|
| McWherter Hall, VA Bldg 52 Psychiatry Residency Program, Box 70567,ETSU, Quillen C | Johnson City, TN 37614 | 4234392225 / 4234392250 |
| Code | Practice | License No State |
|---|---|---|
| 2084P0802X | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & NeurologyAccess to Substance Use Disorder Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Addiction Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Addiction Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | 036.152582
IL |
| 2084P0800X | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | 4301114201
MI |
| 2084P0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | T1395
TX |