Irivbogbe, Osareme Anthony

Irivbogbe, Osareme Anthony is an individual health care provider with primary practice located at 7557B Dannaher Dr Ste 225 , Powell TN 37849-3568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Irivbogbe, Osareme Anthony can be contacted via phone (865) 647-5800.

Contact Information

Primary practice address
7557B Dannaher Dr Ste 225 Powell TN 37849-3568
Phone: (865) 647-5800
Fax: (865) 647-5979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD54620 Tennessee

Profile Details

NPI number 1891995023
LBN Legal business name Irivbogbe, Osareme Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Sep 14th, 2020 - about 4 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 1891995023 NPPES
Tennessee MEDICAID Q023966

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