Omosewo, Jide

Omosewo, Jide is an individual health care provider with primary practice located at 1501 E Mockingbird Ln Suite 101, Victoria TX 77904-2155. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Omosewo, Jide can be contacted via phone (361) 573-6291.

Contact Information

Primary practice address
1501 E Mockingbird Ln Suite 101 Victoria TX 77904-2155
Phone: (361) 573-6291
Fax: (361) 576-2434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024169214 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA1477 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 869357 Texas

Profile Details

NPI number 1881991339
LBN Legal business name Omosewo, Jide
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2011
Last updated Jul 20th, 2021 - 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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