Ombu, Obatala

Ombu, Obatala is an individual health care provider with primary practice located at 209 Short St , Kingstree SC 29556-3926. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Ombu, Obatala can be contacted via phone (843) 372-5959.

Contact Information

Primary practice address
209 Short St Kingstree SC 29556-3926
Fax: (843) 355-7746
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1184969347
LBN Legal business name Ombu, Obatala
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 13 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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