Ombogo, Martha Kerubo
Ombogo, Martha Kerubo is an individual health care provider with primary practice located at 12272 Creve Coeur Ridge Ct , Maryland Heights MO 63043-1213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ombogo, Martha Kerubo can be contacted via phone (816) 824-1447.Contact Information
Primary practice address
12272 Creve Coeur Ridge Ct
Maryland Heights MO 63043-1213
Phone: (816) 824-1447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2022012281 | Missouri |
Profile Details
| NPI number | 1871234435 |
|---|---|
| LBN Legal business name | Ombogo, Martha Kerubo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2022 |
| Last updated | Apr 6th, 2022 - about 3 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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