Omobude, Stephen

Omobude, Stephen is an individual health care provider with primary practice located at 3413 Desota Ave , Cleveland Hts OH 44118. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide. Other Service Providers / Driver is his primary health care specialty. Omobude, Stephen can be contacted via phone (216) 738-1255.

Contact Information

Primary practice address
3413 Desota Ave Cleveland Hts OH 44118
Phone: (216) 738-1255
Fax: (216) 738-1255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X STNA 400457110205
Nursing Service Related Providers / Homemaker 376J00000X STNA 400457110205
Nursing Service Related Providers / Nurse's Aide 376K00000X STNA 400457110205

Profile Details

NPI number 1124156286
LBN Legal business name Omobude, Stephen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1124156286 NPPES
Ohio Other 1807192 ODMRDD CONTRACT #
Ohio MEDICAID 2564014 ODMRDD CONTRACT #

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