Osevwe, Edewor Bernaed

Osevwe, Edewor Bernaed is an sole proprietor health care provider with primary practice located at 6302 Broadway St Ste 130 , Pearland TX 77581-7859. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Osevwe, Edewor Bernaed can be contacted via phone (832) 438-0330.

Contact Information

Primary practice address
6302 Broadway St Ste 130 Pearland TX 77581-7859
Phone: (832) 438-0330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1061917 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202205752NP-PP Oregon

Profile Details

NPI number 1386939429
LBN Legal business name Osevwe, Edewor Bernaed
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2011
Last updated Apr 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386939429 NPPES
Illinois MEDICAID 043103013
Illinois MEDICAID 2009039423
Illinois Other 043103013

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