Woghiren, Osaevbie
Woghiren, Osaevbie is an individual health care provider with primary practice located at 540 E Canfield St , Detroit MI 48201-1928. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Woghiren, Osaevbie can be contacted via phone (313) 745-2101.Contact Information
Primary practice address
540 E Canfield St
Detroit MI 48201-1928
Phone: (313) 745-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 289493 | Massachusetts |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 289493 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 5151017078 | Michigan |
Profile Details
| NPI number | 1891363388 |
|---|---|
| LBN Legal business name | Woghiren, Osaevbie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2021 |
| Last updated | Jun 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891363388 | NPPES |
| Massachusetts | MEDICAID | 289493 |
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