Odina, Moromoke O

Odina, Moromoke O is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Odina, Moromoke O can be contacted via phone (315) 772-2778.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438
Phone: (315) 772-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101251411 Virginia

Profile Details

NPI number 1225347735
LBN Legal business name Odina, Moromoke O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2010
Last updated Oct 17th, 2013 - about 13 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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