Aideyan, Uwayemwen Ogbonmwonkpa

Aideyan, Uwayemwen Ogbonmwonkpa is an individual health care provider with primary practice located at 807 Children'S Way , Jacksonville FL 32207-8426. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Aideyan, Uwayemwen Ogbonmwonkpa can be contacted via phone (904) 390-3600.

Contact Information

Primary practice address
807 Children'S Way Jacksonville FL 32207-8426
Fax: (904) 390-3592
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME69757 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME69757 Florida

Profile Details

NPI number 1295738425
LBN Legal business name Aideyan, Uwayemwen Ogbonmwonkpa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 7th, 2023 - about last year

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 1295738425 NPPES
Florida Other 300132744 RAILROAD MEDICARE
Florida Other 28338 RAILROAD MEDICARE
Florida Other 28338 RAILROAD MEDICARE
Florida MEDICAID 379203000 RAILROAD MEDICARE

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