Oledimmah, Patrick Obinna

Oledimmah, Patrick Obinna is an individual health care provider with primary practice located at 540 North Ave Ste 3, Union NJ 07083-7149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Oledimmah, Patrick Obinna can be contacted via phone (862) 368-5801.

Contact Information

Primary practice address
540 North Ave Ste 3 Union NJ 07083-7149
Phone: (862) 368-5801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00755000 New Jersey

Profile Details

NPI number 1518477504
LBN Legal business name Oledimmah, Patrick Obinna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated Jul 9th, 2019 - 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 1518477504 NPPES
New Jersey MEDICAID 26NJ00755000
New Jersey Other 26NJ00755000

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