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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073125845 | NPPES |
Illinois | MEDICAID | 314228594 |
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