Ezeokeke, Ogo
Ezeokeke, Ogo is an sole proprietor health care provider with primary practice located at 750 Grant Ave Suite 150, Novato CA 94945-7001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ezeokeke, Ogo can be contacted via phone (415) 899-9800.Contact Information
Primary practice address
750 Grant Ave Suite 150
Novato CA 94945-7001
Phone: (415) 899-9800
Fax: (415) 899-9805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 8750 | California |
Profile Details
| NPI number | 1437164126 |
|---|---|
| LBN Legal business name | Ezeokeke, Ogo |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Feb 11th, 2022 - 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 | 1437164126 | NPPES |
| California | MEDICAID | NP0087500 |
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