Odega, Eugene Nkem
Odega, Eugene Nkem is an sole proprietor health care provider with primary practice located at 1204 W Gardena Blvd Ste B , Gardena CA 90247-5923. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Odega, Eugene Nkem can be contacted via phone (310) 962-7922.Contact Information
Primary practice address
1204 W Gardena Blvd Ste B
Gardena CA 90247-5923
Phone: (310) 962-7922
Fax: (310) 767-7835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1093981029 |
|---|---|
| LBN Legal business name | Odega, Eugene Nkem |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2008 |
| Last updated | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093981029 | NPPES |
| California | Other | 49321 | HOME MEDICAL DEVICE RETAIL LICENSE |
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