Ogunwo, Susannah

Ogunwo, Susannah is an individual health care provider with primary practice located at 7300 S Raeford Rd , Fayetteville NC 28304-6162. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Ogunwo, Susannah can be contacted via phone (910) 488-2120.

Contact Information

Primary practice address
7300 S Raeford Rd Fayetteville NC 28304-6162
Phone: (910) 488-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2006-01059 North Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 2006-01059 North Carolina

Profile Details

NPI number 1376561571
LBN Legal business name Ogunwo, Susannah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 8th, 2018 - about 6 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 1376561571 NPPES
North Carolina MEDICAID 5904205

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