Oziwo, Magdalene

Oziwo, Magdalene is an sole proprietor health care provider with primary practice located at 990 Bear Creek Blvd Ste G , Hampton GA 30228-1864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Oziwo, Magdalene can be contacted via phone (678) 479-1234.

Contact Information

Primary practice address
990 Bear Creek Blvd Ste G Hampton GA 30228-1864
Fax: (678) 479-5678
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN201209 Georgia

Profile Details

NPI number 1245688613
LBN Legal business name Oziwo, Magdalene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2016
Last updated May 26th, 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 1245688613 NPPES
Georgia MEDICAID 0009496278

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