Abu, Ogbanedi John

Abu, Ogbanedi John is an individual health care provider with primary practice located at 415 W Benjamin Holt Dr , Stockton CA 95207-3958. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Abu, Ogbanedi John can be contacted via phone (209) 477-4103.

Contact Information

Primary practice address
415 W Benjamin Holt Dr Stockton CA 95207-3958
Phone: (209) 477-4103
Fax: (209) 477-1065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22087 California

Profile Details

NPI number 1750655353
LBN Legal business name Abu, Ogbanedi John
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2012
Last updated Feb 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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