Aitsebaomo, Egede J

Aitsebaomo, Egede J is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Aitsebaomo, Egede J can be contacted via phone (570) 887-2289.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 887-2289
Fax: (570) 887-2290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 285781 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD459847 Pennsylvania

Profile Details

NPI number 1376620682
LBN Legal business name Aitsebaomo, Egede J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 14th, 2021 - about 3 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 1376620682 NPPES
North Carolina MEDICAID 8913023

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