Osaze, Ebun

Osaze, Ebun is an individual health care provider with primary practice located at 311 W. Fairchild Street Family Medicine/Convenient Care, Danville IL 61832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Osaze, Ebun can be contacted via phone (217) 431-7650.

Contact Information

Primary practice address
311 W. Fairchild Street Family Medicine/Convenient Care Danville IL 61832
Phone: (217) 431-7650
Fax: (217) 431-7634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 85001739 Illinois

Profile Details

NPI number 1487705471
LBN Legal business name Osaze, Ebun
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated May 8th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487705471 NPPES
Illinois Other P00156941 RAILROAD
Illinois Other 0533210001 RAILROAD

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