Godwin, Blessing Otoabasi
Godwin, Blessing Otoabasi is an sole proprietor health care provider with primary practice located at 1453 E Bert Kouns Industrial Loop , Shreveport LA 71105-6800. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Godwin, Blessing Otoabasi can be contacted via phone (318) 681-4138.Contact Information
Primary practice address
1453 E Bert Kouns Industrial Loop
Shreveport LA 71105-6800
Phone: (318) 681-4138
Fax: (318) 681-4867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7583A | Wyoming |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | COVID19-TMP-319 | Louisiana |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 324521 | Louisiana |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | LT18884 | North Dakota |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01063797A | Indiana |
Profile Details
| NPI number | 1538245618 |
|---|---|
| LBN Legal business name | Godwin, Blessing Otoabasi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Aug 29th, 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 | 1538245618 | NPPES |
| Arkansas | MEDICAID | 146738001 |
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