Obadagbonyi, Etinosa
Obadagbonyi, Etinosa is an sole proprietor health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Obadagbonyi, Etinosa can be contacted via phone (832) 264-1759.Contact Information
Primary practice address
6600 Van Aalst Blvd
Fort Moore GA 31905-2102
Phone: (832) 264-1759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 120260 | Texas |
Profile Details
| NPI number | 1699373092 |
|---|---|
| LBN Legal business name | Obadagbonyi, Etinosa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2020 |
| Last updated | Nov 26th, 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.
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