Osiezagha, Grace Oghale
Osiezagha, Grace Oghale is an sole proprietor health care provider with primary practice located at 5549 Mccrossin Cir , Lithonia GA 30038-4801. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker, Other Service Providers / Health Educator, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Osiezagha, Grace Oghale can be contacted via phone (404) 917-5112.Contact Information
Primary practice address
5549 Mccrossin Cir
Lithonia GA 30038-4801
Phone: (404) 917-5112
Fax: (770) 323-7512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Georgia | |
| Other Service Providers / Community Health Worker | 172V00000X | Georgia | |
| Other Service Providers / Health Educator | 174H00000X | Georgia | |
| Other Service Providers / Peer Specialist | 175T00000X | Georgia | |
| Agencies / Community/Behavioral Health | 251S00000X | Georgia | |
| Agencies / Home Health | 251E00000X | Georgia |
Profile Details
| NPI number | 1053894618 |
|---|---|
| LBN Legal business name | Osiezagha, Grace Oghale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2018 |
| Last updated | Sep 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053894618 | NPPES |
| Georgia | Other | 1066260 | HEALTH EDUCATION |
| Georgia | Other | CN0028834263 | HEALTH EDUCATION |
| Georgia | Other | 886674697 | HEALTH EDUCATION |
| Georgia | Other | 263534 | HEALTH EDUCATION |
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