Izevbizua, Osahon

Izevbizua, Osahon is an individual health care provider with primary practice located at 500 Peconic St Apt 96A , Ronkonkoma NY 11779-7124. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Izevbizua, Osahon can be contacted via phone (631) 377-9211.

Contact Information

Primary practice address
500 Peconic St Apt 96A Ronkonkoma NY 11779-7124
Phone: (631) 377-9211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Contractor 171W00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1124438304
LBN Legal business name Izevbizua, Osahon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2014
Last updated Apr 28th, 2014 - about 10 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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