Aideyan, Uwayemwen Ogbonmwonkpa
Aideyan, Uwayemwen Ogbonmwonkpa is an individual health care provider with primary practice located at 807 Children'S Way , Jacksonville FL 32207-8426. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Aideyan, Uwayemwen Ogbonmwonkpa can be contacted via phone (904) 390-3600.Contact Information
Primary practice address
807 Children'S Way
Jacksonville FL 32207-8426
Phone: (904) 390-3600
Fax: (904) 390-3592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME69757 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME69757 | Florida |
Profile Details
| NPI number | 1295738425 |
|---|---|
| LBN Legal business name | Aideyan, Uwayemwen Ogbonmwonkpa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295738425 | NPPES |
| Florida | Other | 300132744 | RAILROAD MEDICARE |
| Florida | Other | 28338 | RAILROAD MEDICARE |
| Florida | Other | 28338 | RAILROAD MEDICARE |
| Florida | MEDICAID | 379203000 | RAILROAD MEDICARE |
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