Edosomwan, Ivie
Edosomwan, Ivie is an sole proprietor health care provider with primary practice located at 14090 Southwest Fwy Ste 300 , Sugar Land TX 77478-3679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Edosomwan, Ivie can be contacted via phone (832) 495-1488.Contact Information
Primary practice address
14090 Southwest Fwy Ste 300
Sugar Land TX 77478-3679
Phone: (832) 495-1488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1154270 | Texas |
Profile Details
| NPI number | 1336906783 |
|---|---|
| LBN Legal business name | Edosomwan, Ivie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2024 |
| Last updated | Mar 4th, 2024 - about 2 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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