Oyefesobi, Grace Oghenekaro

Oyefesobi, Grace Oghenekaro is an individual health care provider with primary practice located at 8468 Tamarack Village Cvs Minute Clinic, Woodbury MN 55125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Oyefesobi, Grace Oghenekaro can be contacted via phone (651) 278-5633.

Contact Information

Primary practice address
8468 Tamarack Village Cvs Minute Clinic Woodbury MN 55125
Phone: (651) 278-5633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4351 Minnesota

Profile Details

NPI number 1184070591
LBN Legal business name Oyefesobi, Grace Oghenekaro
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2016
Last updated Oct 7th, 2016 - about 8 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 1184070591 NPPES
Minnesota MEDICAID 1982927943

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