Adibe, Adaobi Ezinne, Laura

Adibe, Adaobi Ezinne, Laura is an individual health care provider with primary practice located at 350 S 40Th St , Muskogee OK 74401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adibe, Adaobi Ezinne, Laura can be contacted via phone (918) 683-0753.

Contact Information

Primary practice address
350 S 40Th St Muskogee OK 74401
Phone: (918) 683-0753
Fax: (866) 397-7556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 119620 Oklahoma

Profile Details

NPI number 1558746651
LBN Legal business name Adibe, Adaobi Ezinne, Laura
Credentials MSN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Aug 21st, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558746651 NPPES
Oklahoma MEDICAID 200627980A

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