Okpogie, Aisosa Deborah

Okpogie, Aisosa Deborah is an sole proprietor health care provider with primary practice located at 11 E 75Th St , Chicago IL 60619-1601. She recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as her primary health care specialty. Okpogie, Aisosa Deborah can be contacted via phone (773) 224-1211.

Contact Information

Primary practice address
11 E 75Th St Chicago IL 60619-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 051300041 Illinois

Profile Details

NPI number 1073125845
LBN Legal business name Okpogie, Aisosa Deborah
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2020
Last updated Aug 21st, 2020 - about 5 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 1073125845 NPPES
Illinois MEDICAID 314228594

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