Osebor, Samson Ebho

Osebor, Samson Ebho is an individual health care provider with primary practice located at 240 Bear Hill Rd Ste 104 , Waltham MA 02451-1026. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Osebor, Samson Ebho can be contacted via phone (617) 340-3559.

Contact Information

Primary practice address
240 Bear Hill Rd Ste 104 Waltham MA 02451-1026
Phone: (617) 340-3559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2311226 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2311226 Massachusetts

Profile Details

NPI number 1578298907
LBN Legal business name Osebor, Samson Ebho
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2022
Last updated Mar 11th, 2024 - about last year

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 1578298907 NPPES
Massachusetts Other S92075712 DRIVER LICENSE

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