Mr. Ezra Acholonu, PA
Physician Assistant, Medical in Springfield, Massachusetts
1407221302- Practice location
- 759 Chestnut St, Springfield, MA 01199-1001
- Phone
- 413-794-4320
- Fax
- —
- Last updated
- September 18, 2020
Ezra Acholonu is a Physician Assistant, Medical based in Springfield, MA. Ezra Acholonu practices in Springfield, MA and has the professional credentials of PA. The NPI Number for Ezra Acholonu is 1407221302 and holds a License No. PA5539 (MA). The current practice location address for Ezra Acholonu is 759 Chestnut St, Springfield, MA 01199-1001 and can be reached out via phone at 413-794-4320.
Provider Profile Details
- NPI Number
- 1407221302
- Provider Name
- Ezra Acholonu
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 759 Chestnut St, Springfield, MA 01199-1001
- Phone Number
- 413-794-4320
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 3, 2015
- Last Update Date
- September 18, 2020
- Certification Date
- September 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 759 Chestnut St
Springfield, MA 01199-1001 - City
- Springfield
- State
- Massachusetts
- Zip
- 01199-1001
- Phone Number
- 413-794-4320
Provider Business Mailing Address Details
- Address
- 215 N Main St
White River Junction, VT 05009-0001 - City
- White River Junction
- State
- VT
- Zip
- 05009-0001
- Phone Number
- 800-465-3203
License Information
- License Number (1)
- PA5539
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA5539
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Ezra Acholonu, PA?
The NPI number of Mr. Ezra Acholonu, PA is 1407221302. It was assigned on December 3, 2015 and is currently active in the NPPES registry.
What is the specialty of Mr. Ezra Acholonu, PA?
Mr. Ezra Acholonu, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA5539.
Where does Mr. Ezra Acholonu, PA practice?
The practice location is 759 Chestnut St, Springfield, MA 01199-1001. The office can be reached at 413-794-4320 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407221302 directly on the NPPES registry website.