Odeghe, Okiemute Charles

Odeghe, Okiemute Charles is an individual health care provider with primary practice located at 115 Mall Dr , Hanford CA 93230-5786. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Odeghe, Okiemute Charles can be contacted via phone (559) 537-1670.

Contact Information

Primary practice address
115 Mall Dr Hanford CA 93230-5786
Phone: (559) 537-1670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95007464 California

Profile Details

NPI number 1376062638
LBN Legal business name Odeghe, Okiemute Charles
Credentials FNP -C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2017
Last updated Sep 18th, 2017 - about 7 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 1376062638 NPPES
California MEDICAID 95007464

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