Odemerho, Benedicta I
Odemerho, Benedicta I is an individual health care provider with primary practice located at 5800 Godfrey Rd Fobes 1525, Godfrey IL 62035-2426. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Odemerho, Benedicta I can be contacted via phone (618) 468-6800.Contact Information
Primary practice address
5800 Godfrey Rd Fobes 1525
Godfrey IL 62035-2426
Phone: (618) 468-6800
Fax: (618) 468-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209009075 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209009075 | Illinois |
Profile Details
| NPI number | 1427332956 |
|---|---|
| LBN Legal business name | Odemerho, Benedicta I |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2011 |
| Last updated | May 5th, 2015 - about 11 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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