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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376620682 | NPPES |
| North Carolina | MEDICAID | 8913023 |
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