Ogbevoen, Justin O

Ogbevoen, Justin O is an individual health care provider with primary practice located at 1225 Graham Rd Div Ped Emergency Med, Florissant MO 63031-8012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Ogbevoen, Justin O can be contacted via phone (314) 454-2341.

Contact Information

Primary practice address
1225 Graham Rd Div Ped Emergency Med Florissant MO 63031-8012
Phone: (314) 454-2341
Fax: (314) 454-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 103771 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 103771 Missouri

Profile Details

NPI number 1487612370
LBN Legal business name Ogbevoen, Justin O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Apr 25th, 2024 - about 5 months 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 1487612370 NPPES
Missouri MEDICAID 207558412

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